Ipa Of Kane County

NPI 1104073576 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1104073576
Enumeration Date 08/27/2008
Last Updated 10/26/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KEVIN N. KEVIN
Position ADMINISTRATOR
Phone (877) 226-3676
Fax (877) 226-3811
Practice Location
8529 W. 191ST STREET
MOKENA IL, 60448, US
Phone (877) 226-3676
Fax (877) 226-3811
Business Location
P.O. BOX 728
FRANKFORT IL, 60423, US
Phone (877) 226-3676
Fax (877) 226-3811
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
Remove 1104073576 NPI Number
 

According to our database, Ipa Of Kane County NPI is 1104073576, taxonomy code is 302R00000X Ipa Of Kane County physically located at 8529 W. 191st Street, Mokena IL, 60448. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1104073576 NPI number is provided on an as is basis without warranty of any kind. 1104073576 is maintained by the National Plan & Provider Enumeration System. The contents of Ipa Of Kane County are for informational purposes only.