Organization · Type 2 NPI

Healing Space, LLC

Gynecology Physician · St. Charles, IL

NPI number 1316495534 Active

Practice location

2075 Foxfield Rd, Suite 102
St. Charles, IL 60174-1402

Fax (630) 549-0527

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400XNone listed

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1316495534

Healing Space, LLC's National Provider Identifier is 1316495534, issued on Sep 16, 2016. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in St. Charles, IL. The record was last updated on Sep 16, 2016.