SEAN MICHAEL RARDIN S.C. NPI 1013227214

NPI Information

NPI: 1013227214
Provider Name: SEAN MICHAEL RARDIN S.C.

Doing Business As: RIVERWALK FAMILY MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1300 N HIGHLAND AVE
AURORA, IL
ZIP 60506
Phone: (630) 892-7629
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SEAN MICHAEL RARDIN S.C. is a primary care clinic center in Aurora, IL. SEAN MICHAEL RARDIN S.C. NPI is 1013227214. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverwalk Family Medicine.

The provider's business location address is:

1300 N HIGHLAND AVE
AURORA, IL
ZIP 60506-451
Phone: (630) 892-7629

The provider's authorized official is Carrie Rardin .
The authorized official title is Office Assistant and has the following contact phone number (630) 219-3172.

The enumeration date for this NPI number is 10/21/2010 and was last updated on 2/11/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	036114032	ILLINOIS	Yes

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

NPI Synchronization or Removal

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