Provider Demographics
NPI:1356797849
Name:NP-MD PRACTICE PC
Entity type:Organization
Organization Name:NP-MD PRACTICE PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDEEP
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:VERMA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, MSN,FNP-BC, WCC
Authorized Official - Phone:630-405-7244
Mailing Address - Street 1:75 EXECUTIVE DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-8137
Mailing Address - Country:US
Mailing Address - Phone:630-405-7244
Mailing Address - Fax:630-735-5103
Practice Address - Street 1:75 EXECUTIVE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-8137
Practice Address - Country:US
Practice Address - Phone:630-405-7244
Practice Address - Fax:630-735-5103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-13
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WW0000X
IL209014261363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty