Physical Medicine Associates Sc
Family Medicine in Geneva, IL. Organization (NPI-2).
NPI number1477546935
StatusActive
Last updated in NPPESMay 19, 2022
Details
- NPI
- 1477546935
- Entity type
- Organization (NPI-2)
- Legal business name
- Physical Medicine Associates Sc
- Organization subpart
- No
- Enumeration date
- Aug 30, 2005
- Certification date
- May 19, 2022
- Last updated
- May 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 042617710 | IL | Yes |
| 111N00000X | Chiropractor | 042617710 | IL | |
| 208100000X | Physical Medicine & Rehabilitation | 042617710 | IL |
Practice location
429 N Kirk Rd Ste 103Geneva, IL 60134-1667
Phone 630-605-6323 · Fax 630-428-4305
Mailing address
24w500 Maple Ave#105
Naperville, IL 60540-6055
Phone 630-428-4300 · Fax 630-428-4305
Other practice locations
2745 Maple Ave Ste 2d
Lisle, IL 60532-3231
Lisle, IL 60532-3231
Phone 630-428-4300 · Fax 630-428-4305
Authorized official
Taryn Hall
Om
6304502088
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