| Platinum Family Medicine Sc. | |
|
1012 95th St Suite 9 Naperville IL 60564-5041 | |
| (630) 689-4944 | |
| (630) 717-0981 |
| Full Name | Platinum Family Medicine Sc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1012 95th St, Naperville, Illinois |
| Authorized Official Name and Position | Claire N Sutton (PRESIDENT OWNER) |
| Authorized Official Contact | 6306894944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Family Medicine Sc. 1012 95th St Suite 9 Naperville IL 60564-5041 Ph: (630) 689-4944 | Platinum Family Medicine Sc. 1012 95th St Suite 9 Naperville IL 60564-5041 Ph: (630) 689-4944 |
| NPI Number | 1871705368 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 07/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871705368 | NPI | - | NPPES |
| 2233203 | Other | IL | BCBS PROVIDER ID |
| 042619030 | Other | IL | MED CORP REGISTRATION |
| DG5143 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042619030 (Illinois) | Primary |
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