Family Medicine Specialists Of Round Lake Incorporated

NPI 1740515253 - Family Medicine - 207Q00000X

NPI Details
NPI 1740515253
Enumeration Date 10/16/2009
Last Updated 07/01/2015
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JASON JASON
Position CFO
Phone (224) 372-7780
Fax (224) 372-7782
Practice Location
2680 ROUTE 83
ROUND LAKE BEACH IL, 60073, US
Phone (224) 372-7780
Fax (224) 372-7782
Business Location
PO BOX 6037
WAUCONDA IL, 60084-2452, US
Phone (847) 526-2151
Fax (847) 526-2017
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036083207
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According to our database, Family Medicine Specialists Of Round Lake Incorporated NPI is 1740515253, taxonomy code is 207Q00000X and license number is 036083207, license state is located at Illinois. Family Medicine Specialists Of Round Lake Incorporated physically located at 2680 Route 83, Round Lake Beach IL, 60073. NPI Number 1033115704 has the healthcare provider type.

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1740515253 NPI number is provided on an as is basis without warranty of any kind. 1740515253 is maintained by the National Plan & Provider Enumeration System. The contents of Family Medicine Specialists Of Round Lake Incorporated are for informational purposes only.