| Healthguard Pediatric And Adult Medicine | |
|
40w222 La Fox Road Suite K Saint Charles IL 60175-7625 | |
| (630) 443-7000 | |
| (630) 443-7590 |
| Full Name | Healthguard Pediatric And Adult Medicine |
|---|---|
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 40w222 La Fox Road, Saint Charles, Illinois |
| Authorized Official Name and Position | Cameron Safarloo (CEO) |
| Authorized Official Contact | 6309076009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthguard Pediatric And Adult Medicine 1205 Oak Street North Aurora IL 60542-2006 Ph: (630) 907-6009 | Healthguard Pediatric And Adult Medicine 40w222 La Fox Road Suite K Saint Charles IL 60175-7625 Ph: (630) 443-7000 |
| NPI Number | 1831280783 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831280783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | (Illinois) | Primary |
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