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PASSPORT ENTERPRISES LLC NPI 1649313842


NPI Information

NPI: 1649313842
Provider Name: PASSPORT ENTERPRISES, LLC

Doing Business As: PASSPORT HEALTH

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
250 CENTER DR STE 202
VERNON HILLS, IL
ZIP 60061
Phone: (847) 816-3434
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PASSPORT ENTERPRISES, LLC is a clinic center in Vernon Hills, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PASSPORT ENTERPRISES, LLC NPI is 1649313842. The provider is registered as an organization entity type.
The provider Is Doing Business As Passport Health.

The provider's business location address is:

250 CENTER DR STE 202
VERNON HILLS, IL
ZIP 60061-582
Phone: (847) 816-3434
Fax: (847) 816-6363

The provider's authorized official is Scott M Morcott .
The authorized official title is Medical Director and has the following contact phone number (847) 816-3434.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/22/2020.


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
1261Q00000XClinic/CenterILLINOISYes

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

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