Passport Enterprises Llc in Vernon Hills - Clinic/center
Passport Enterprises Llc - NPI 1093978603
Passport Enterprises Llc is a Clinic/center in Vernon Hills, Illinois. Passport Enterprises Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Passport Enterprises Llc is 1093978603. The last update date is 2008-07-03.
Passport Enterprises Llc's current location address is 250 Center Dr Ste 202, Vernon Hills, Illinois. You can contact this provider via phone number 8478163434. The mailing address for Passport Enterprises Llc is 250 Center Dr Ste 202, Vernon Hills, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Passport Enterprises Llc |
|---|---|
| Address | 250 Center Dr Ste 202, Vernon Hills, Illinois |
| Phone Number | 8478163434 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS M |
|---|---|
| Authorized Official Name | Capron Elizabeth |
| Telephone Number | 8176813775 |
NPI Number Detail
| NPI Number | 1093978603 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
| Address | 250 Center Dr Ste 202 |
|---|---|
| City | Vernon Hills |
| State | Illinois (IL) |
| Post Code | 600611582 |
| Phone Number | 8478163434 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 36099609 |
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Definition: 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 |
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Post Comment/ Review Below
What is the Passport Enterprises Llc's 1093978603?
The Passport Enterprises Llc's NPI (National Provider Identifier) Number is 1093978603. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Passport Enterprises Llc?
The Passport Enterprises Llc is situated at 250 Center Dr Ste 202, in the city of Vernon Hills, state of IL, with the zip code 600611582.
What is Passport Enterprises Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Passport Enterprises Llc is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.
On what date did the Passport Enterprises Llc receive the assignment of its 1093978603 from the Centers for Medicare & Medicaid Services?
The Passport Enterprises Llc was issued its 1093978603 by the Centers for Medicare & Medicaid Services on 2008-07-03.
As of what date were the details pertaining to Passport Enterprises Llc last refreshed?
The information related to the Passport Enterprises Llc, including its address, specialty, and other relevant details, was last updated on 2008-07-03.