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PRIVY HEALTH INC NPI 1003388588


NPI Information

NPI: 1003388588
Provider Name: PRIVY HEALTH INC
Classification: Clinic/Center - 261QG0250X
Entity Type: Organization

Specialization: Genetics

Address:
11 S EVERGREEN AVE
ARLINGTON HEIGHTS, IL
ZIP 60005
Phone: (815) 861-1673
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PRIVY HEALTH INC is a genetics clinic center in Arlington Heights, IL. The provider is an entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced. PRIVY HEALTH INC NPI is 1003388588. The provider is registered as an organization entity type.

The provider's business location address is:

11 S EVERGREEN AVE
ARLINGTON HEIGHTS, IL
ZIP 60005-427
Phone: (815) 861-1673

The provider's authorized official is John Distefano .
The authorized official title is Clinic Director and has the following contact phone number (352) 317-3214.

The enumeration date for this NPI number is 12/21/2018 and was last updated on 12/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QG0250XClinic/CenterGeneticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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