Provider Demographics
NPI:1245502616
Name:FIRST CHOICE OCCUPATIONAL HEALTH, LLC.
Entity type:Organization
Organization Name:FIRST CHOICE OCCUPATIONAL HEALTH, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:DAGHFAL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:630-416-1300
Mailing Address - Street 1:1971 GOWDEY RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4232
Mailing Address - Country:US
Mailing Address - Phone:630-416-7293
Mailing Address - Fax:
Practice Address - Street 1:1971 GOWDEY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4232
Practice Address - Country:US
Practice Address - Phone:630-416-7293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine