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D
Prison Health Clinic/Center in St Charles, Illinois
NPI 1902152846

D is a Prison Health Clinic/Center based in St Charles, IL and is specialized in Prison Health. D practices in St Charles, IL. The NPI Number for D is 1902152846 and holds a License No. 209.004846 (Illinois).

The current practice location address for D is 3825 Campton Hills Dr, St Charles, IL and can be reached out via phone at 630-584-0506.

Location: 3825 Campton Hills Dr, St Charles, IL, 60175-6062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902152846
Provider Name
D
Credential
Provider Entity Type
Organization
Address
3825 Campton Hills Dr, St Charles, IL, 60175-6062
Phone Number
630-584-0506
Fax Number
Provider Enumeration Date
07/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3825 Campton Hills Dr
City
St Charles
State
Illinois
Zip
60175-6062
Phone Number
630-584-0506
Fax Number
person
Provider Business Mailing Address Details
Address
3825 Campton Hills Dr
City
St Charles
State
Illinois
Zip
60175-6062
Phone Number
630-584-0506
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Prison Health
Taxonomy
261QP2400X
License No.
209.004846 (Illinois)
Definition
Definition to come...
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