Open Door Clinic Of Greater Elgin in Elgin - Medical Specialty
Open Door Clinic Of Greater Elgin - NPI 1255354635
Open Door Clinic Of Greater Elgin is a Medical Specialty in Elgin, Illinois. Open Door Clinic Of Greater Elgin practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Open Door Clinic Of Greater Elgin is 1255354635. The last update date is 2021-05-19.
Open Door Clinic Of Greater Elgin's current location address is 1665 Larkin Ave, Elgin, Illinois. You can contact this provider via phone number 8476951093 and fax number 8476950501. The mailing address for Open Door Clinic Of Greater Elgin is 1665 Larkin Ave, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Open Door Clinic Of Greater Elgin |
|---|---|
| Address | 1665 Larkin Ave, Elgin, Illinois |
| Phone Number | 8476951093 |
| Fax Number | 8476950501 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Baines La Juan |
| Telephone Number | 8476951093 |
NPI Number Detail
| NPI Number | 1255354635 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2021-05-19 |
Provider Mailing Address Detail
| Address | 1665 Larkin Ave |
|---|---|
| City | Elgin |
| State | Illinois (IL) |
| Post Code | 601235977 |
| Phone Number | 8476951093 |
| Fax Number | 8476950501 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique provider identifier assigned to Open Door Clinic Of Greater Elgin?
The Open Door Clinic Of Greater Elgin has been issued the NPI (National Provider Identifier) 1255354635 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Open Door Clinic Of Greater Elgin's physical address?
The Open Door Clinic Of Greater Elgin is physically located at 1665 Larkin Ave, in the city of Elgin, IL, with the postal code 601235977.
What is Open Door Clinic Of Greater Elgin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Open Door Clinic Of Greater Elgin is Medical Specialty, and the taxonomy code that classifies this field of practice is 261Qm2500X.
On what date did the Open Door Clinic Of Greater Elgin receive its 1255354635 assignment from the Centers for Medicare & Medicaid Services?
The Open Door Clinic Of Greater Elgin was assigned its 1255354635 by the Centers for Medicare & Medicaid Services on 2006-07-26.
As of what date was the information regarding Open Door Clinic Of Greater Elgin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Open Door Clinic Of Greater Elgin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-19.
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