D NPI 1902152846

NPI Information

  • NPI: 1902152846
  • Provider Name: D
  • Classification: Clinic/Center - 261QP2400X
  • Specialization: Prison Health
  • Entity Type: Organization
  • CLIA Number: 14D0869050
  • Address: 3825 CAMPTON HILLS DR
    ST CHARLES, IL
    ZIP 60175
  • Phone: (630) 584-0506

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NPI Details

D is a prison health clinic center in St Charles, IL. D NPI is 1902152846. The provider is registered as an organization entity type.

The provider's business location address is:

3825 CAMPTON HILLS DR
ST CHARLES, IL
ZIP 60175-062
Phone: (630) 584-0506

The provider's authorized official is Stella Munoz .
The authorized official title is Nurse Practitioner and has the following contact phone number (630) 279-4861.

The CLIA number assigned to this NPI record is 14D0869050 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2012 and was last updated on 7/30/2012.

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
1261QP2400XClinic/CenterPrison Health209.004846ILLINOISYes

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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