NPI 1740582055
Phdc, LLC
Practice location
- Address
- 631 W Main St, Buffalo, MO 65622-7496
- Phone
- (847) 329-4100
- Mailing address
- 7444 Long Ave, Skokie, IL 60077-3214
Authorised official
- Name
- Benjamin Klein
- Title
- Manager
- Phone
- (847) 329-4100
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1740582055
- Entity type
- Organization
- NPI issued
- 19 Nov 2010
- Record last updated
- 25 Mar 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.