Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FOUNTAIN HEALTHCARE LIMITED LIABILITY COMPANY
Active OrganizationFOUNTAIN HEALTHCARE LIMITED LIABILITY COMPANY is a Adolescent Medicine organization located in STREATOR, Illinois. NPI 1730425851 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · STREATOR, IL
Registration Details
- NPI Number
- 1730425851
- Provider Type
- Organization
- NPI Issued
- Dec 18, 2012 (13.685074194224 yrs)
- Last Updated
- Dec 18, 2012
- License
-
036099987 (IL)
Practice Information
- Address
-
1639 N 1590TH RDSTREATOR, IL, 613649644Browse IL providers · Browse ZIP 61364
- Phone
- 8157936611
- Fax
- 6305927500
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.