Organization · NPI-2

Berwyn Emergency Physicians, LLP

Emergency Medicine · Berwyn, IL

NPI number1649295312

StatusActive

Last updated in NPPESMar 28, 2008

Details

NPI: 1649295312
Entity type: Organization (NPI-2)
Legal business name: Berwyn Emergency Physicians, LLP
Organization subpart: No
Enumeration date: Jul 13, 2006
Last updated: Mar 28, 2008

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207P00000X	Emergency Medicine	–	–	Yes
363A00000X	Physician Assistant	–	–
363L00000X	Nurse Practitioner	–	–

Practice location

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone 800-701-3381 · Fax 239-939-1682

Mailing address

75 Remit Drive
Suite 1209
Chicago, IL 60675-1209

Phone 800-701-3381 · Fax 239-939-1682

Authorized official

James M Johnson
LLP Managing Partner
8002535358

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