Organization
REGIONAL PHYSICIAN SERVICES OF ILLINOIS PC
Active
Parent organization
COMMUNITY CARE HEALTH NETWORK INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CARE HEALTH NETWORK INC
Authorized official
STEPHANIE PETERSON (SUPERVISOR, PROVIDER ENROLLMENT)
(480) 862-1677
Entity
Organization
Contact information
Practice address
9201 E MOUNTAIN VIEW RD, SUITE 220, SCOTTSDALE, AZ 85258
(480) 862-1700
(480) 907-1537
Mailing address
9201 E MOUNTAIN VIEW RD, SUITE 220, SCOTTSDALE, AZ 85258-5172
(480) 862-1700
(480) 907-1537
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/29/2010
Last updated
09/27/2021
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