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NPI Code Detail

MEDICARE: NAPERVILLE MEDICAL PARTNERS

MEDICARE: NAPERVILLE MEDICAL PARTNERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1992499719
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAPERVILLE MEDICAL PARTNERS
Provider Business Mailing Address
First Line : 4432 N MILLER RD STE 102
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-3697
Country : US
Telephone Number : 480-306-7227
Fax Number :
Provider Business Practice Location Address
First Line : 3416 S ROUTE 59 STE 108
Second Line :
City : NAPERVILLE
State : IL
Zip : 60564-8147
Country : US
Telephone Number : 630-416-1151
Fax Number :
Authorized Official
Title or Position : MEDICAL BILLING DIRECTOR
Name : CASSIDY GADDIS
Credential :
Telephone Number : 480-306-7227
Provider Enumeration Date : 06/05/2023
Last Update Date : 06/05/2023

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Directions to “NAPERVILLE MEDICAL PARTNERS ” Practice Location

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