Organization · Type 2 NPI
Our Medical Center LLC
Psychiatric/Mental Health Nurse Practitioner · St. Charles, IL
NPI number
1316439722
Active
Practice location
451 Dunham Rd Ste 300
St. Charles, IL 60174-1431
Fax (630) 296-8965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209013778 (IL) |
| Primary Care Nurse Practitioner | 363LP2300X | 209013778 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1316439722
Our Medical Center LLC's National Provider Identifier is 1316439722, issued on May 31, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Charles, IL. The record was last updated on Jul 8, 2021.