Center For Athletic Medicine Ltd

NPI 1083817407 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1083817407
Enumeration Date 06/06/2007
Last Updated 07/06/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PRESTON M PRESTON
Position MEDICAL DOCTOR
Phone (773) 248-4150
Fax (773) 248-4291
Practice Location
830 W DIVERSEY PKWY
SUITE 300
CHICAGO IL, 60614-1454, US
Phone (773) 248-4150
Fax (773) 248-4291
Business Location
830 W DIVERSEY PKWY
SUITE 300
CHICAGO IL, 60614-1454, US
Phone (773) 248-4150
Fax (773) 248-4291
Toxanomy
Taxonomy Code 207X00000X
License State Illinois
License Number 36060229
Remove 1083817407 NPI Number
 

According to our database, Center For Athletic Medicine Ltd NPI is 1083817407, taxonomy code is 207X00000X and license number is 36060229, license state is located at Illinois. Center For Athletic Medicine Ltd physically located at 830 W Diversey Pkwy, Chicago IL, 60614-1454. NPI Number 1033115704 has the healthcare provider type.

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1083817407 NPI number is provided on an as is basis without warranty of any kind. 1083817407 is maintained by the National Plan & Provider Enumeration System. The contents of Center For Athletic Medicine Ltd are for informational purposes only.