POOLSIDE HEALTH & WELLNESS CENTER NPI 1699832683

NPI Information

  • NPI: 1699832683
  • Provider Name: POOLSIDE HEALTH & WELLNESS CENTER
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 3733 POOLSIDE DR
    DANVILLE, IL
    ZIP 61832
  • Phone: (217) 446-9283

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NPI Details

POOLSIDE HEALTH & WELLNESS CENTER is a rehabilitation clinic center in Danville, IL. POOLSIDE HEALTH & WELLNESS CENTER NPI is 1699832683. The provider is registered as an organization entity type.

The provider's business location address is:

3733 POOLSIDE DR
DANVILLE, IL
ZIP 61832-144
Phone: (217) 446-9283
Fax: (217) 442-2181

The provider's authorized official is Patricia A Owens .
The authorized official title is Director Of Patient Accounting and has the following contact phone number (217) 326-2911.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/22/2020.

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
1261QR0400XClinic/CenterRehabilitation13304532ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1075432OTHERILLINOISHAMP PROVIDER ID
209232013OTHERBLUE CROSS PROVIDER ID
3515838OTHERILLINOISHEALTHLINK PROVIDER ID

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: 11/21/2025

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