Provider Demographics
NPI:1528203890
Name:MEIER CLINICS OF ILLINOIS
Entity Type:Organization
Organization Name:MEIER CLINICS OF ILLINOIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:R
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-653-1717
Mailing Address - Street 1:2100 MANCHESTER RD
Mailing Address - Street 2:SUITE 1510
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4579
Mailing Address - Country:US
Mailing Address - Phone:630-653-1717
Mailing Address - Fax:630-653-9691
Practice Address - Street 1:1245 EXECUTIVE PL
Practice Address - Street 2:SUITE F-400
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2415
Practice Address - Country:US
Practice Address - Phone:630-653-1717
Practice Address - Fax:630-653-9691
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEIER CLINICS FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL060009349261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center