Healthcare Provider Details

I. General information

NPI: 1417655465
Provider Name (Legal Business Name): FIRST DOCS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 OXFORD LN
NAPERVILLE IL
60565-1511
US

IV. Provider business mailing address

PO BOX 7411009
CHICAGO IL
60674-3009
US

V. Phone/Fax

Practice location:
  • Phone: 702-762-2485
  • Fax: 609-585-0309
Mailing address:
  • Phone: 702-762-2485
  • Fax: 609-585-0309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHERYL LEE
Title or Position: DIRECTOR CONTRACTING
Credential:
Phone: 413-800-6069