Regional Physician Services of Illinois PC

NPI #1013226620 in Scottsdale, Arizona

Provider Information

NPI Number
1013226620
Entity Type
Organization
Organization Name
Regional Physician Services of Illinois PC
Subpart
Yes (part of a larger organization)
Parent Organization
COMMUNITY CARE HEALTH NETWORK INC
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 29, 2010
Last Updated
Sep 27, 2021

Practice Location

Address
9201 E MOUNTAIN VIEW RD
Address 2
SUITE 220
State
Arizona
ZIP Code
85258
Phone
(480) 862-1700

Authorized Official

Name
STEPHANIE PETERSON
Title
SUPERVISOR, PROVIDER ENROLLMENT
Phone
(480) 862-1677

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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