NPI: 1013257989 · WHEATON, IL 60187 · Federally Qualified Health Center (FQHC) · NPI assigned 02/28/2013
| Authorized Official | SPOONER, TAMMY (PROVIDER ENROLLMENR) |
| NPI Enumeration Date | 02/28/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 28 | $4K |
| 2020 | 42 | $5K |
| 2024 | 12 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 82 | 65 | $12K |