Elliott Mckinley Fourte M.D.

NPI 1023198298 - Family Medicine - 207Q00000X

NPI Details
NPI 1023198298
Gender Male
Enumeration Date 10/16/2006
Last Updated 10/26/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
10661 S ROBERTS RD
103
PALOS HILLS IL, 60465-1954, US
Phone (708) 974-9999
Fax (708) 974-9985
Business Location
8836 S. ASHLAND
CHICAGO IL, 60620, US
Phone (773) 629-6036
Fax (773) 629-6852
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 36117052
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According to our database, Dr. Elliott Mckinley Fourte M.D. NPI is 1023198298, taxonomy code is 207Q00000X and license number is 36117052, license state is located at Illinois. Elliott Mckinley Fourte M.D. physically located at 10661 S Roberts Rd, Palos Hills IL, 60465-1954. NPI Number Elliott Mckinley Fourte M.D. has the Individual type.

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1023198298 NPI number is provided on an as is basis without warranty of any kind. 1023198298 is maintained by the National Plan & Provider Enumeration System. The contents of Elliott Mckinley Fourte M.D. are for informational purposes only.