NPI 1962067165 · live from the CMS NPI Registry
Alteon Health Illinois, PLLC
Emergency Medicine in Oak Park, IL. National Provider Identifier 1962067165, active.
NPI record
| NPI | 1962067165 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 3 Erie Ct, Oak Park, IL 60302 |
| Practice phone | 844-474-4019 |
| Mailing address | 12420 Milestone Center Dr Ste 200, Germantown, MD 20876 |
| Enumerated | May 3, 2019 |
| Last updated | February 24, 2023 |
| Authorized official | Amy Charley, Chief Legal Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.