PHYSICAL MEDICINE ASSOCIATES SC NPI 1477546935

NPI Information

NPI: 1477546935
Provider Name: PHYSICAL MEDICINE ASSOCIATES SC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
429 N KIRK RD STE 103
GENEVA, IL
ZIP 60134
Phone: (630) 605-6323
Get Directions

PHYSICAL MEDICINE ASSOCIATES SC is a family medicine in Geneva, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHYSICAL MEDICINE ASSOCIATES SC NPI is 1477546935. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

429 N KIRK RD STE 103
GENEVA, IL
ZIP 60134-667
Phone: (630) 605-6323
Fax: (630) 428-4305

The provider's authorized official is Taryn Hall .
The authorized official title is Om and has the following contact phone number (630) 450-2088.

The enumeration date for this NPI number is 8/30/2005 and was last updated on 5/19/2022.

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	License Number	License State	Primary
1	111N00000X	Chiropractor	042617710	ILLINOIS	No
2	208100000X	Physical Medicine & Rehabilitation	042617710	ILLINOIS	No
3	207Q00000X	Family Medicine	042617710	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02232261	OTHER	ILLINOIS	BCBS PROVIDER #

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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