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14D2286334 CLIA NUMBER - SWAN PRIMARY CARE, PLLC

Laboratory Demographics

CLIA Number: 14D2286334

Facility Name: SWAN PRIMARY CARE, PLLC

Facility Address:
303 E ARMY TRAIL RD - STE 111
BLOOMINGDALE, IL
ZIP 60108
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Facility Phone Number: 630 931-2929

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1376137083

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 14D2286334
LAB Type Physician Office
Facility Name SWAN PRIMARY CARE, PLLC
Street 303 E ARMY TRAIL RD - STE 111
City BLOOMINGDALE
State IL
ZIP 60108
Phone 630 931-2929
CertificateType 4
CertificateEffectiveDate 7/27/2023
CertificateExpirationDate 7/26/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024