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Contact Information

MEA-SJ CARE CENTERS, LLC
PROVENA ST JOSEPH MED CARE CTR
2250 W ALGONQUIN RD
LAKE IN THE HILLS, IL60156
 Phone: 847-845-5511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MEA SJ CARE CENTERS LLC · (Female)

NPI # 1275570806
Status Active
Credentials
Entity Individual
Enumeration date 06/01/2006
Last updated 01/24/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036075657
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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