MEDICARE: FIRST DOCS PC

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
1	208M00000X	Hospitalist Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1417655465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST DOCS PC

Provider Business Mailing Address
First Line	:	PO BOX 7411009
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-3009
Country	:	US
Telephone Number	:	702-762-2485
Fax Number	:	609-585-0309

Provider Business Practice Location Address
First Line	:	1525 OXFORD LN
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60565-1511
Country	:	US
Telephone Number	:	702-762-2485
Fax Number	:	609-585-0309

Authorized Official
Title or Position	:	DIRECTOR CONTRACTING
Name	:	CHERYL LEE
Credential	:
Telephone Number	:	413-800-6069

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	07/29/2025

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