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PHYSICIANS EDGE PHO NPI 1831356690


NPI Information

NPI: 1831356690
Provider Name: PHYSICIANS EDGE PHO

Doing Business As: PHYSICIANS EDGE PHO

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
750 PASQUINELLI DR
SUITE 204
WESTMONT, IL
ZIP 60559
Phone: (708) 783-7153
Get Directions

PHYSICIANS EDGE PHO is a general practice in Westmont, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PHYSICIANS EDGE PHO NPI is 1831356690. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Physicians Edge Pho.

The provider's business location address is:

750 PASQUINELLI DR
SUITE 204
WESTMONT, IL
ZIP 60559-567
Phone: (708) 783-7153

The provider's authorized official is Kim A Armstrong .
The authorized official title is Director and has the following contact phone number (708) 783-7153.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 5/20/2008.


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
1208D00000XGeneral PracticeYes

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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