| Nepomuceno Family Practice Llc | |
|
475 Brown Blvd Ste 106 Bourbonnais IL 60914-2325 | |
| (815) 937-8786 | |
| Not Available |
| Full Name | Nepomuceno Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 475 Brown Blvd Ste 106, Bourbonnais, Illinois |
| Authorized Official Name and Position | Reynaldo E Nepomuceno (PRESIDENT) |
| Authorized Official Contact | 8159378786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nepomuceno Family Practice Llc 475 Brown Blvd Ste 106 Bourbonnais IL 60914-2325 Ph: (815) 937-8786 | Nepomuceno Family Practice Llc 475 Brown Blvd Ste 106 Bourbonnais IL 60914-2325 Ph: (815) 937-8786 |
| NPI Number | 1083749410 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083749410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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