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NPI Code Detail

MEDICARE: COMPHEALTH

MEDICARE: COMPHEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterIL

General Provider Information

NPI Number : 1386621324
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPHEALTH
Provider Business Mailing Address
First Line : 105 W 8TH AVE
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-3015
Country : US
Telephone Number : 630-355-6653
Fax Number :
Provider Business Practice Location Address
First Line : 2669 W REGIMENTAL AVE
Second Line :
City : FORT MCCOY
State : WI
Zip : 54656-5229
Country : US
Telephone Number : 608-388-3025
Fax Number : 608-388-3964
Authorized Official
Title or Position : DOCTOR
Name : DR. JAMES V DUNPHY
Credential : MD
Telephone Number : 608-388-3025
Provider Enumeration Date : 12/30/2005
Last Update Date : 08/22/2020

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Directions to “COMPHEALTH ” Practice Location

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