| Dupage Integrative Medicine Sc | |
|
1220 Hobson Rd Ste 132 Naperville IL 60540-8137 | |
| (331) 702-2141 | |
| Not Available |
| Full Name | Dupage Integrative Medicine Sc |
|---|---|
| Speciality | General Practice |
| Location | 1220 Hobson Rd Ste 132, Naperville, Illinois |
| Authorized Official Name and Position | Ian Boe (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3317022214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dupage Integrative Medicine Sc 1220 Hobson Rd Ste 132 Naperville IL 60540-8137 Ph: (331) 702-2141 | Dupage Integrative Medicine Sc 1220 Hobson Rd Ste 132 Naperville IL 60540-8137 Ph: (331) 702-2141 |
| NPI Number | 1275244964 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 12/14/2022 |
| Medicare PECOS PAC ID | 7618348293 |
|---|---|
| Medicare Enrollment ID | O20230118000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275244964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ian Boe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417210626 PECOS PAC ID: 4486943677 Enrollment ID: I20160511000877 |
| Provider Name | Jillian G Montefusco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720732936 PECOS PAC ID: 4688061070 Enrollment ID: I20220504001138 |
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