Healthworks Medical Group Of Illinois S C

NPI 1083006001 - Clinic/Center - 261QM1300X

NPI Details
NPI 1083006001
Enumeration Date 02/27/2015
Last Updated 02/27/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MARIANNE MARIANNE
Position OWNER
Phone (708) 485-2273
Fax (708) 352-0845
Practice Location
6150 JOLIET RD
COUNTRYSIDE IL, 60525-3956, US
Phone (708) 485-2273
Fax (708) 352-0845
Business Location
5500 MARYLAND WAY
BRENTWOOD TN, 37027-4948, US
Phone (708) 485-2273
Fax (708) 352-0845
Toxanomy
Taxonomy Code 261QM1300X
License State
License Number
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According to our database, Healthworks Medical Group Of Illinois S C NPI is 1083006001, taxonomy code is 261QM1300X Healthworks Medical Group Of Illinois S C physically located at 6150 Joliet Rd, Countryside IL, 60525-3956. NPI Number 1033115704 has the healthcare provider type.

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1083006001 NPI number is provided on an as is basis without warranty of any kind. 1083006001 is maintained by the National Plan & Provider Enumeration System. The contents of Healthworks Medical Group Of Illinois S C are for informational purposes only.