| The Center For Family Medicine Llc | |
|
3360 Lacrosse Ln Suite# 106 Naperville IL 60564-8136 | |
| (630) 696-4404 | |
| Not Available |
| Full Name | The Center For Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3360 Lacrosse Ln, Naperville, Illinois |
| Authorized Official Name and Position | Michael Edward Peters (OWNER) |
| Authorized Official Contact | 6309044351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Family Medicine Llc 3360 Lacrosse Ln Suite# 106 Naperville IL 60564-8136 Ph: (630) 696-4404 | The Center For Family Medicine Llc 3360 Lacrosse Ln Suite# 106 Naperville IL 60564-8136 Ph: (630) 696-4404 |
| NPI Number | 1275755738 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 10/18/2007 |
| Medicare PECOS PAC ID | 6305947235 |
|---|---|
| Medicare Enrollment ID | O20070810000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275755738 | NPI | - | NPPES |
| 036-078421 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036078421 (Illinois) | Primary |
| Provider Name | Michael E Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023005097 PECOS PAC ID: 6406957331 Enrollment ID: I20070810000228 |
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