Family Health Center Physicians, Let

NPI 1194842393 - Family Medicine - 207Q00000X

NPI Details
NPI 1194842393
Enumeration Date 03/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEROME T JEROME
Position PRESIDENT
Phone (708) 331-9200
Fax (708) 331-5519
Practice Location
17060 S PARK AVE
SOUTH HOLLAND IL, 60473-3349, US
Phone (708) 331-9200
Fax (708) 331-5519
Business Location
17060 S PARK AVE
SOUTH HOLLAND IL, 60473-3349, US
Phone (708) 331-9200
Fax (708) 331-5519
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Family Health Center Physicians, Let NPI is 1194842393, taxonomy code is 207Q00000X Family Health Center Physicians, Let physically located at 17060 S Park Ave, South Holland IL, 60473-3349. NPI Number 1033115704 has the healthcare provider type.

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1194842393 NPI number is provided on an as is basis without warranty of any kind. 1194842393 is maintained by the National Plan & Provider Enumeration System. The contents of Family Health Center Physicians, Let are for informational purposes only.