Healthworks Med Group Of Il S C

NPI 1477881845 - Clinic/Center - 261QH0100X

NPI Details
NPI 1477881845
Enumeration Date 11/24/2009
Last Updated 05/05/2015
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MARIANNE B MARIANNE
Position MEDICAL DIRECTOR/ OWNER
Phone (312) 653-3300
Fax (312) 653-3398
Practice Location
300 E RANDOLPH ST # CL404
CHICAGO IL, 60601-5099, US
Phone (312) 653-3300
Fax (312) 653-3398
Business Location
5500 MARYLAND WAY
BRENTWOOD TN, 37027-4948, US
Phone (312) 653-3300
Fax (312) 653-3398
Toxanomy
Taxonomy Code 261QH0100X
License State
License Number
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According to our database, Healthworks Med Group Of Il S C NPI is 1477881845, taxonomy code is 261QH0100X Healthworks Med Group Of Il S C physically located at 300 E Randolph St # Cl404, Chicago IL, 60601-5099. NPI Number 1033115704 has the healthcare provider type.

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1477881845 NPI number is provided on an as is basis without warranty of any kind. 1477881845 is maintained by the National Plan & Provider Enumeration System. The contents of Healthworks Med Group Of Il S C are for informational purposes only.