D
D provides Prison Health Clinic/Center services in St Charles, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
3825 Campton Hills DrSt Charles, IL 60175-6062 Not confirmed with CMS for 14 years — call before visiting
Phone: (630) 584-0506
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prison Health Clinic/Center (primary) | Taxonomy 261QP2400X · Licence 209.004846 (IL) |
|---|
Record details
| NPI number | 1902152846 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stella Munoz — Nurse Practitioner · (630) 279-4861 |
| NPI enumerated | July 30, 2012 |
| Last updated in NPPES | July 30, 2012 |
| Mailing address | 3825 Campton Hills Dr, St Charles, IL 60175-6062 |