Provider Demographics
NPI:1962238105
Name:PROFESSIONAL MEDICAL CONSULTANTS
Entity type:Organization
Organization Name:PROFESSIONAL MEDICAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP CLINICAL OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:630-746-7191
Mailing Address - Street 1:1042 W DOWNER PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-4820
Mailing Address - Country:US
Mailing Address - Phone:630-746-7191
Mailing Address - Fax:
Practice Address - Street 1:1042 W DOWNER PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-4820
Practice Address - Country:US
Practice Address - Phone:630-746-7191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care