| Physicians Express, Llc | |
|
2000 W Main St Suite M St Charles IL 60174-1775 | |
| (630) 584-9242 | |
| (630) 584-9243 |
| Full Name | Physicians Express, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2000 W Main St, St Charles, Illinois |
| Authorized Official Name and Position | Vimal N Patel (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6305849242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Express, Llc 2000 W Main St Suite M St Charles IL 60174-1775 Ph: (630) 584-9242 | Physicians Express, Llc 2000 W Main St Suite M St Charles IL 60174-1775 Ph: (630) 584-9242 |
| NPI Number | 1821059452 |
|---|---|
| Provider Enumeration Date | 03/31/2006 |
| Last Update Date | 05/14/2015 |
| Medicare PECOS PAC ID | 7416955711 |
|---|---|
| Medicare Enrollment ID | O20061121000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821059452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Vimal Navinchandra Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750341061 PECOS PAC ID: 9436157732 Enrollment ID: I20061121000371 |
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