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General NPI Number Information
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NPI Number | 1487302378
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Entity Type | Organization
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Legal Business Name | FOCUS CARE MD LTD
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Dates
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Enumeration Date | 03/10/2022
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 150 S BLOOMINGDALE RD STE 210
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1494
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Country | US
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Telephone | 630-205-3387
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Fax |
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Provider Business Mailing Address
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Address Line | 150 S BLOOMINGDALE RD STE 210
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1494
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Country | US
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Telephone | 630-205-3387
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. VASANTH STEPHEN
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Credential |
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Telephone | 630-205-3387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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