institution
Our Medical Center Llc
Primary Care Nurse Practitioner in Saint Charles, Illinois
NPI 1316439722

Our Medical Center Llc is a Primary Care Nurse Practitioner based in Saint Charles, IL and is specialized in Primary Care. Our Medical Center Llc practices in Saint Charles, IL. The NPI Number for Our Medical Center Llc is 1316439722 and holds a License No. 209013778 (Illinois).

The current practice location address for Our Medical Center Llc is 451 Dunham Rd Ste 300, Saint Charles, IL and can be reached out via phone at 630-521-3110 and via fax at 630-296-8965.

Location: 451 Dunham Rd Ste 300, Saint Charles, IL, 60174-1431
institution
Provider Profile Details
NPI Number
1316439722
Provider Name
Our Medical Center Llc
Credential
Provider Entity Type
Organization
Address
451 Dunham Rd Ste 300, Saint Charles, IL, 60174-1431
Phone Number
630-521-3110
Fax Number
630-296-8965
Provider Enumeration Date
05/31/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437547858 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
451 Dunham Rd Ste 300
City
State
Zip
60174-1431
Phone Number
630-521-3110
Fax Number
630-296-8965
person
Provider Business Mailing Address Details
Address
451 Dunham Rd Ste 300
City
State
Zip
60174-1431
Phone Number
630-521-3110
Fax Number
630-296-8965
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
209013778 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
209013778 (Illinois)
Definition
Definition to come...
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