Affiliates In Primary Care,s.c.

NPI 1053593384 - Family Medicine - 207Q00000X

NPI Details
NPI 1053593384
Enumeration Date 11/28/2007
Last Updated 11/28/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SAMUEL M SAMUEL
Position PRESIDENT
Phone (708) 450-0055
Fax (708) 450-0288
Practice Location
1111 SUPERIOR ST
SUITE # 306
MELROSE PARK IL, 60160-4138, US
Phone (708) 450-0055
Fax (708) 450-0288
Business Location
1111 SUPERIOR ST
SUITE # 306
MELROSE PARK IL, 60160-4138, US
Phone (708) 450-0055
Fax (708) 450-0288
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 0360757641
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According to our database, Affiliates In Primary Care,s.c. NPI is 1053593384, taxonomy code is 207Q00000X and license number is 0360757641, license state is located at Illinois. Affiliates In Primary Care,s.c. physically located at 1111 Superior St, Melrose Park IL, 60160-4138. NPI Number 1033115704 has the healthcare provider type.

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1053593384 NPI number is provided on an as is basis without warranty of any kind. 1053593384 is maintained by the National Plan & Provider Enumeration System. The contents of Affiliates In Primary Care,s.c. are for informational purposes only.