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Susan Fedinec, D.o. Llc
Clinic/Center in Plainfield, Illinois
NPI 1215007505

Susan Fedinec, D.o. Llc is a Clinic/Center based in Plainfield, IL. Susan Fedinec, D.o. Llc practices in Plainfield, IL. The NPI Number for Susan Fedinec, D.o. Llc is 1215007505 and holds a License No. 036 078573 (Illinois).

The current practice location address for Susan Fedinec, D.o. Llc is 24600 W 127Th St, Plainfield, IL and can be reached out via phone at 815-676-2940 and via fax at 815-676-2942.

Location: 24600 W 127Th St, Plainfield, IL, 60585-9507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215007505
Provider Name
Susan Fedinec, D.o. Llc
Credential
Provider Entity Type
Organization
Address
24600 W 127Th St, Plainfield, IL, 60585-9507
Phone Number
815-676-2940
Fax Number
815-676-2942
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9932303 01 IL BLUE CROSS BLUE SHIELD ID
036 078573 01 IL IL STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
24600 W 127Th St
City
Plainfield
State
Illinois
Zip
60585-9502
Phone Number
815-676-2940
Fax Number
815-676-2942
person
Provider Business Mailing Address Details
Address
24600 W 127Th St
City
Plainfield
State
Illinois
Zip
60585-9502
Phone Number
815-676-2940
Fax Number
815-676-2942
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
036 078573 (Illinois)
Definition
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).
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