Provider Demographics
NPI:1417655465
Name:FIRST DOCS PC
Entity type:Organization
Organization Name:FIRST DOCS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CONTRACTING
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-800-6069
Mailing Address - Street 1:PO BOX 7411009
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-3009
Mailing Address - Country:US
Mailing Address - Phone:702-762-2485
Mailing Address - Fax:609-585-0309
Practice Address - Street 1:1525 OXFORD LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-1511
Practice Address - Country:US
Practice Address - Phone:702-762-2485
Practice Address - Fax:609-585-0309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2024-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty