Innovative Care Elements LLC

NPI #1285010272 in Salem, Illinois

Provider Information

NPI Number: 1285010272
Entity Type: Organization
Organization Name: Innovative Care Elements LLC
Subpart: Yes (part of a larger organization)
Parent Organization: INNOVATIVE CARE ELEMENTS, LLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 3, 2015
Last Updated: Mar 30, 2016

Practice Location

Address: 1325 W WHITTAKER ST
Address 2: SUITE 3
City: Salem
State: Illinois
ZIP Code: 62881-2007
Phone: (618) 548-2400

Authorized Official

Name: STEVEN N SCOTT, M.D.
Title: OPERATIONS DIRECTOR
Phone: (618) 842-2491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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