| Partnermd Illinois Pc | |
|
2435 Dean St Unit C St Charles IL 60175-4827 | |
| (804) 282-2655 | |
| Not Available |
| Full Name | Partnermd Illinois Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2435 Dean St, St Charles, Illinois |
| Authorized Official Name and Position | James Mumper (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8042822655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Partnermd Illinois Pc 7001 Forest Ave Suite 302 Richmond VA 23230-1726 Ph: (804) 282-2655 | Partnermd Illinois Pc 2435 Dean St Unit C St Charles IL 60175-4827 Ph: (804) 282-2655 |
| NPI Number | 1275943508 |
|---|---|
| Provider Enumeration Date | 05/08/2014 |
| Last Update Date | 05/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275943508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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