Provider Demographics
NPI:1861242653
Name:PCE MEDICAL BILLING LLC
Entity type:Organization
Organization Name:PCE MEDICAL BILLING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WYSONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-521-6589
Mailing Address - Street 1:2720 SOUTH RIVER ROAD
Mailing Address - Street 2:SUITE 242, BOX 204
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2720 S RIVER RD STE 242
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4111
Practice Address - Country:US
Practice Address - Phone:847-521-6589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty