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PHYSICIANS EXPRESS LLC NPI 1821059452


NPI Information

NPI: 1821059452
Provider Name: PHYSICIANS EXPRESS, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D1072658

Address:
2000 W MAIN ST
SUITE M
ST CHARLES, IL
ZIP 60174
Phone: (630) 584-9242
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PHYSICIANS EXPRESS, LLC is a primary care clinic center in St Charles, IL. PHYSICIANS EXPRESS, LLC NPI is 1821059452. The provider is registered as an organization entity type.

The provider's business location address is:

2000 W MAIN ST
SUITE M
ST CHARLES, IL
ZIP 60174-775
Phone: (630) 584-9242
Fax: (630) 584-9243

The provider's authorized official is Vimal N Patel .
The authorized official title is Medical Director and has the following contact phone number (630) 584-9242.

The CLIA number assigned to this NPI record is 14D1072658 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/31/2006 and was last updated on 5/14/2015.


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
1261QP2300XClinic/CenterPrimary CareYes

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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