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HEALTHY CONNECTION PHYSICAL MEDICINE ADDISON NPI 1962740480


NPI Information

NPI: 1962740480
Provider Name: HEALTHY CONNECTION PHYSICAL MEDICINE ADDISON
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
190 N SWIFT RD
ADDISON, IL
ZIP 60101
Phone: (630) 599-0950
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HEALTHY CONNECTION PHYSICAL MEDICINE ADDISON is a general practice in Addison, 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 HEALTHY CONNECTION PHYSICAL MEDICINE ADDISON NPI is 1962740480. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

190 N SWIFT RD
ADDISON, IL
ZIP 60101-476
Phone: (630) 599-0950
Fax: (630) 599-0952

The provider's authorized official is Victor Puodziunas .
The authorized official title is President and has the following contact phone number (630) 599-0950.

The enumeration date for this NPI number is 1/17/2013 and was last updated on 1/17/2013.


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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