NPI 1447870274 · live from the CMS NPI Registry
15 Park Place LLC
Internal Medicine in Swansea, IL. National Provider Identifier 1447870274, active.
NPI record
| NPI | 1447870274 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 15 Park Pl Ste 1, Swansea, IL 62226 |
| Practice phone | 618-580-1359 |
| Enumerated | April 22, 2020 |
| Last updated | July 8, 2020 |
| Authorized official | Clara Ampadu, Ceo |
| Other names | Adult Internal Medicine Office Practice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Primary Care | 363LP2300X | — |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.