NPI Code Details Logo

NPI 1386412179

NPI 1386412179 : ALL WELL PRIMARY CARE INC : NAPERVILLE, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1386412179
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ALL WELL PRIMARY CARE INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/12/2023
-----------------------------------------------------
    Last Update Date     |    12/16/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1431 LARSEN LN 
-----------------------------------------------------
    City                 |    NAPERVILLE
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60563-8524
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    630-363-8999
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1431 LARSEN LN 
-----------------------------------------------------
    City                 |    NAPERVILLE
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60563-8524
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    331-401-5107
-----------------------------------------------------
    Fax                  |    331-401-5108
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     RAKESHKUMAR  PATEL 
-----------------------------------------------------
    Credential           |    NP
-----------------------------------------------------
    Telephone            |    331-401-5017
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.