VINTAGE HOME VISITING PHYSICIANS NPI 1073847893

NPI Information

NPI: 1073847893
Provider Name: VINTAGE HOME VISITING PHYSICIANS
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
7 BLANCHARD CIR
SUITE 103
WHEATON, IL
ZIP 60189
Phone: (773) 368-3499
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VINTAGE HOME VISITING PHYSICIANS is a community health clinic center in Wheaton, IL. VINTAGE HOME VISITING PHYSICIANS NPI is 1073847893. The provider is registered as an organization entity type.

The provider's business location address is:

7 BLANCHARD CIR
SUITE 103
WHEATON, IL
ZIP 60189-037
Phone: (773) 368-3499
Fax: (630) 260-1035

The provider's authorized official is Oliver Akano .
The authorized official title is Administrator and has the following contact phone number (773) 368-3499.

The enumeration date for this NPI number is 9/25/2009 and was last updated on 9/25/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	336055456	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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