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923 S Randall Rd Saint Charles IL 60174-1556 | |
(630) 517-5788 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 923 S Randall Rd, Saint Charles, Illinois |
Authorized Official Name and Position | Chanele Smith (MANAGER) |
Authorized Official Contact | 2392600530 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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923 S Randall Rd Saint Charles IL 60174-1556 Ph: (630) 517-5788 | 923 S Randall Rd Saint Charles IL 60174-1556 Ph: (630) 517-5788 |
NPI Number | 1801485610 |
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Provider Enumeration Date | 01/15/2021 |
Last Update Date | 11/13/2024 |
Medicare PECOS PAC ID | 0345657284 |
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Medicare Enrollment ID | O20210322001029 |
Identifier | Type | State | Issuer |
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1801485610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | James G Delis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750393286 PECOS PAC ID: 3375648827 Enrollment ID: I20070412000188 |
Provider Name | Mark Babinski |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548657901 PECOS PAC ID: 8729399209 Enrollment ID: I20150624003085 |
Provider Name | Nicholas James Szopinski |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1316303779 PECOS PAC ID: 7719239516 Enrollment ID: I20181005000630 |
Provider Name | Tara L Klaus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609341072 PECOS PAC ID: 2163753757 Enrollment ID: I20191014000083 |
Provider Name | Alec Pawlak |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699544965 PECOS PAC ID: 1052844693 Enrollment ID: I20241104002783 |
Fox Valley Wellness Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2325 Dean St, Suite 400, Saint Charles, IL 60175 Phone: 630-584-3999 Fax: 630-584-3301 | |
Randall Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 923 S Randall Rd, Saint Charles, IL 60174 Phone: 630-601-3361 Fax: 630-485-6984 | |
Valley Family Medicine, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Foxfield Rd, Suite 101, Saint Charles, IL 60174 Phone: 630-513-8275 Fax: 630-513-9208 | |