Life Medical Sc

NPI 1245362847 - Internal Medicine - 207R00000X

NPI Details
NPI 1245362847
Enumeration Date 03/09/2007
Last Updated 12/26/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOANNA E JOANNA
Position PRACTICE MANAGER
Phone (847) 653-8413
Fax (847) 292-0850
Practice Location
1550 N NORTHWEST HWY
SUITE 209
PARK RIDGE IL, 60068-1411, US
Phone (847) 653-8413
Fax (847) 292-0850
Business Location
1550 N NORTHWEST HWY
SUITE 209
PARK RIDGE IL, 60068-1411, US
Phone (847) 653-8413
Fax (847) 292-0850
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 042.618530
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According to our database, Life Medical Sc NPI is 1245362847, taxonomy code is 207R00000X and license number is 042.618530, license state is located at Illinois. Life Medical Sc physically located at 1550 N Northwest Hwy, Park Ridge IL, 60068-1411. NPI Number 1033115704 has the healthcare provider type.

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1245362847 NPI number is provided on an as is basis without warranty of any kind. 1245362847 is maintained by the National Plan & Provider Enumeration System. The contents of Life Medical Sc are for informational purposes only.