Passport Enterprises LLC
NPI #1093978603 in Vernon Hills, Illinois
Provider Information
- NPI Number
- 1093978603
- Entity Type
- Organization
- Organization Name
- Passport Enterprises LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 3, 2008
- Last Updated
- Jul 3, 2008
Practice Location
- Address
- 250 CENTER DR STE 202
- City
- Vernon Hills
- State
- Illinois
- ZIP Code
- 60061-1582
- Phone
- (847) 816-3434
Authorized Official
- Name
- ELIZABETH CAPRON
- Title
- BUSINESS MANAGER
- Phone
- (817) 681-3775
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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