| Danada Vein Care Sc | |
|
180 Danada Sq W Wheaton IL 60189-2041 | |
| (630) 474-2600 | |
| (630) 474-2601 |
| Full Name | Danada Vein Care Sc |
|---|---|
| Speciality | Phlebology |
| Location | 180 Danada Sq W, Wheaton, Illinois |
| Authorized Official Name and Position | Sean Mcwilliams (OWNER) |
| Authorized Official Contact | 6304742600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danada Vein Care Sc 180 Danada Sq W Wheaton IL 60189-2041 Ph: (630) 474-2600 | Danada Vein Care Sc 180 Danada Sq W Wheaton IL 60189-2041 Ph: (630) 474-2600 |
| NPI Number | 1649026196 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 04/25/2024 |
| Medicare PECOS PAC ID | 0648611244 |
|---|---|
| Medicare Enrollment ID | O20240514002518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649026196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 202K00000X | Phlebology | (* (Not Available)) | Primary |
| Provider Name | Sean D Mcwilliams |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356323398 PECOS PAC ID: 8628059094 Enrollment ID: I20040601000559 |
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