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NPI 1740489897 · live from the CMS NPI Registry

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Family Medicine in Elmhurst, IL. National Provider Identifier 1740489897, active.

NPI record

NPI1740489897 Type 2 · organization
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location401 N York St, Ste 4, Elmhurst, IL 60126
Practice phone630-941-8190
EnumeratedJuly 17, 2007
Last updatedMarch 28, 2013
Authorized officialDoug Simper, Physician
Other namesOsteo Relief Institute

Taxonomies and licenses

TaxonomyCodeLicense
Physical Therapist225100000X—
Chiropractor111N00000X038-008756 (IL)
Technician, Other247200000X038-008756 (IL)
Phlebology202K00000X036-126661 (IL)
Family Medicine primary207Q00000X036-119654 (IL)
Durable Medical Equipment & Medical Supplies332B00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.