Organization
ACCENTCARE MEDICAL GROUP OF MINNESOTA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE BILL (VP REIMBURSEMENT)
(847) 644-2920
Entity
Organization
Contact information
Practice address
767 EUSTIS ST, ST 150, SAINT PAUL, MN 55114-0018
(612) 728-2455
Mailing address
6400 SHAFER CT STE 300A, ROSEMONT, IL 60018-4914
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
10/09/2024
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