OrganizationActive
Illumia Health LLC
NPI 1972316289 · Hospice and Palliative Medicine (Internal Medicine) Physician · White Bear Lake, MN
Provider details
- NPI number
- 1972316289
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janet Combs, Vp of Licensure(704) 662-1761
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3580 Linden Ave Ste A1
White Bear Lake, MN 55110-4625
Phone: (704) 664-2876
Fax: (704) 230-0946
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4060
Mooresville, NC 28117-4060
Additional practice locations (1)
- 350 S 5th StMinneapolis, MN 55415-1316Phone: (704) 664-2876Fax: (704) 230-0946
Registry dates
- Enumerated
- 2025-01-30
- Last updated
- 2025-05-16
- Certified
- 2025-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.