MEDICARE: FOCUS INTERNAL MEDICINE, SC

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	207R00000X	Internal Medicine Physician		IL

General Provider Information

NPI Number	:	1467465492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS INTERNAL MEDICINE, SC

Provider Business Mailing Address
First Line	:	460 BRIARGATE DR
Second Line	:	SUITE 150
City	:	SOUTH ELGIN
State	:	IL
Zip	:	60177-2227
Country	:	US
Telephone Number	:	847-697-9100
Fax Number	:	847-697-5105

Provider Business Practice Location Address
First Line	:	460 BRIARGATE DR
Second Line	:	SUITE 150
City	:	SOUTH ELGIN
State	:	IL
Zip	:	60177-2227
Country	:	US
Telephone Number	:	847-697-9100
Fax Number	:	847-697-5105

Authorized Official
Title or Position	:	ACCOUNT MANAGER
Name	:	KEALI DRISCOLL
Credential	:
Telephone Number	:	630-285-1530

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	08/22/2020

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Directions to “FOCUS INTERNAL MEDICINE, SC ” Practice Location

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