Homan, Teresa L.

Homan, Teresa L. is an individual health care provider with primary practice located at 3310 W Main St Suite 200, St Charles IL 60175-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Homan, Teresa L. can be contacted via phone (630) 897-6044.

Contact Information

Primary practice address
3310 W Main St Suite 200 St Charles IL 60175-1000
Phone: (630) 897-6044
Fax: (630) 897-0180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036097815 Illinois

Profile Details

NPI number 1073512596
LBN Legal business name Homan, Teresa L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Oct 22nd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073512596 NPPES
Illinois MEDICAID 036097815

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