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BURGOS FUENTES SERVICE CORPORATION NPI 1154491348


NPI Information

NPI: 1154491348
Provider Name: BURGOS FUENTES SERVICE CORPORATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
229 W GRAND AVE STE QW
BENSENVILLE, IL
ZIP 60106
Phone: (630) 422-1917
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BURGOS FUENTES SERVICE CORPORATION is a primary care clinic center in Bensenville, IL. BURGOS FUENTES SERVICE CORPORATION NPI is 1154491348. The provider is registered as an organization entity type.

The provider's business location address is:

229 W GRAND AVE STE QW
BENSENVILLE, IL
ZIP 60106-373
Phone: (630) 422-1917
Fax: (630) 422-7226

The provider's authorized official is Miguel A Burgos .
The authorized official title is President and has the following contact phone number (630) 422-1917.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 12/1/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care036103673ILLINOISYes

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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