Holistic Family Medicine

NPI 1043468440 - Family Medicine - 207Q00000X

NPI Details
NPI 1043468440
Enumeration Date 08/28/2008
Last Updated 08/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LARRY LARRY
Position OFFICE MANAGER
Phone (773) 881-7191
Fax
Practice Location
11110 S SAWYER AVE
CHICAGO IL, 60655-2724, US
Phone (773) 881-7191
Fax
Business Location
1647 W 105TH PL
CHICAGO IL, 60643-2915, US
Phone (773) 881-7191
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036094988
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According to our database, Holistic Family Medicine NPI is 1043468440, taxonomy code is 207Q00000X and license number is 036094988, license state is located at Illinois. Holistic Family Medicine physically located at 11110 S Sawyer Ave, Chicago IL, 60655-2724. NPI Number 1033115704 has the healthcare provider type.

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1043468440 NPI number is provided on an as is basis without warranty of any kind. 1043468440 is maintained by the National Plan & Provider Enumeration System. The contents of Holistic Family Medicine are for informational purposes only.