Provider Demographics
NPI:1215921952
Name:PAHCS II
Entity type:Organization
Organization Name:PAHCS II
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE SUPERVISOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:E
Authorized Official - Last Name:YEP
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:630-539-5275
Mailing Address - Street 1:245 S GARY AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2228
Mailing Address - Country:US
Mailing Address - Phone:630-894-8404
Mailing Address - Fax:630-894-8028
Practice Address - Street 1:245 S GARY AVE
Practice Address - Street 2:STE 101
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2228
Practice Address - Country:US
Practice Address - Phone:630-894-8404
Practice Address - Fax:630-894-8028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine