Healthcare Provider Details

I. General information

NPI: 1962238105
Provider Name (Legal Business Name): PROFESSIONAL MEDICAL CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1042 W DOWNER PL
AURORA IL
60506-4820
US

IV. Provider business mailing address

1042 W DOWNER PL
AURORA IL
60506-4820
US

V. Phone/Fax

Practice location:
  • Phone: 630-746-7191
  • Fax:
Mailing address:
  • Phone: 630-746-7191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTINE D GREENE
Title or Position: VP CLINICAL OPERATIONS
Credential: APRN
Phone: 630-746-7191