Organization · Type 2 NPI
Vintage Home Visiting Physicians
Community Health Clinic/Center · Wheaton, IL
NPI number
1073847893
Active
Practice location
7 Blanchard Cir, Suite 103
Wheaton, IL 60189-2037
Fax (630) 260-1035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | 336055456 (IL) |
Community Health Clinic/Center: Definition to come...
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About NPI 1073847893
Vintage Home Visiting Physicians's National Provider Identifier is 1073847893, issued on Sep 25, 2009. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Wheaton, IL. The record was last updated on Sep 25, 2009.