| Vmd Primary Providers Colorado Pllc | |
|
125 S Clark St Ste 900 Chicago IL 60603-4043 | |
| (312) 465-7900 | |
| (847) 510-0702 |
| Full Name | Vmd Primary Providers Colorado Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 125 S Clark St Ste 900, Chicago, Illinois |
| Authorized Official Name and Position | Kristi Lee (SENIOR DIRECTOR) |
| Authorized Official Contact | 7065134897 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vmd Primary Providers Colorado Pllc 125 S Clark St Ste 900 Chicago IL 60603-4043 Ph: (312) 465-7900 | Vmd Primary Providers Colorado Pllc 125 S Clark St Ste 900 Chicago IL 60603-4043 Ph: (312) 465-7900 |
| NPI Number | 1215506662 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 06/21/2021 |
| Medicare PECOS PAC ID | 6800284373 |
|---|---|
| Medicare Enrollment ID | O20211102003442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215506662 | NPI | - | NPPES |
| Provider Name | Brent R Asplin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093782161 PECOS PAC ID: 9931184744 Enrollment ID: I20211102003451 |
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