Illumia Health LLC

NPI #1972316289 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1972316289
Entity Type: Organization
Organization Name: Illumia Health LLC
Primary Specialty: Internal Medicine - Hospice and Palliative Medicine
Enumeration Date: Jan 30, 2025
Last Updated: May 16, 2025

Practice Location

Address: 3580 LINDEN AVE STE A1
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-4625
Phone: (704) 664-2876

Authorized Official

Name: JANET L. COMBS
Title: VP OF LICENSURE
Phone: (704) 662-1761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Hospice and Palliative Medicine — Hospice and Palliative Medicine	207RH0002X	Primary

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