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PROGRESSIVE FAMILY HEALTH NPI 1942425517


NPI Information

NPI: 1942425517
Provider Name: PROGRESSIVE FAMILY HEALTH
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
1110 ARBOR DR
SUITE D
DECATUR, IL
ZIP 62526
Phone: (217) 875-9995
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PROGRESSIVE FAMILY HEALTH is a legal medicine in Decatur, IL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. PROGRESSIVE FAMILY HEALTH NPI is 1942425517. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1110 ARBOR DR
SUITE D
DECATUR, IL
ZIP 62526-285
Phone: (217) 875-9995

The provider's authorized official is Kevin Krol .
The authorized official title is President and has the following contact phone number (217) 875-9995.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/28/2007.


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
1173000000XLegal Medicine207Q00000XILLINOISYes

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
105822882OTHERILLINOISBLUE CROSS
2544870MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE

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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