| Vintage Home Visiting Physicians | |
|
7 Blanchard Cir Suite 103 Wheaton IL 60189-2037 | |
| (773) 368-3499 | |
| (630) 260-1035 |
| Full Name | Vintage Home Visiting Physicians |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 7 Blanchard Cir, Wheaton, Illinois |
| Authorized Official Name and Position | Oliver Akano (ADMINISTRATOR) |
| Authorized Official Contact | 7733683499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vintage Home Visiting Physicians 7 Blanchard Cir Suite 103 Wheaton IL 60189-2037 Ph: (773) 368-3499 | Vintage Home Visiting Physicians 7 Blanchard Cir Suite 103 Wheaton IL 60189-2037 Ph: (773) 368-3499 |
| NPI Number | 1073847893 |
|---|---|
| Provider Enumeration Date | 09/25/2009 |
| Last Update Date | 09/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073847893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 336055456 (Illinois) | Primary |
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