Healthcare Provider Details

I. General information

NPI: 1760618318
Provider Name (Legal Business Name): IPC MEDICAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2009
Last Update Date: 06/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 OCEOLA DR
ALGONQUIN IL
60102-2972
US

IV. Provider business mailing address

1548 E ALGONQUIN RD #257
ALGONQUIN IL
60102-4519
US

V. Phone/Fax

Practice location:
  • Phone: 773-294-9521
  • Fax:
Mailing address:
  • Phone: 773-294-9521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD JAHNER
Title or Position: MANAGING MEMBER
Credential: N.D.
Phone: 773-294-9521