Organization · Type 2 NPI

Passport Enterprises, LLC

Clinic/Center · Vernon Hills, IL

NPI number 1649313842 Active

Practice location

250 Center Dr Ste 202
Vernon Hills, IL 60061-1582

Fax (847) 816-6363

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1649313842

Passport Enterprises, LLC's National Provider Identifier is 1649313842, issued on Feb 15, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Vernon Hills, IL. The record was last updated on Aug 22, 2020.