Provider Demographics
NPI:1386621324
Name:COMPHEALTH
Entity type:Organization
Organization Name:COMPHEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:V
Authorized Official - Last Name:DUNPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:608-388-3025
Mailing Address - Street 1:105 W 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3015
Mailing Address - Country:US
Mailing Address - Phone:630-355-6653
Mailing Address - Fax:
Practice Address - Street 1:2669 W REGIMENTAL AVE
Practice Address - Street 2:
Practice Address - City:FORT MCCOY
Practice Address - State:WI
Practice Address - Zip Code:54656-5229
Practice Address - Country:US
Practice Address - Phone:608-388-3025
Practice Address - Fax:608-388-3964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center