Master Medical Care Llc

NPI 1184679466 - Internal Medicine - 207R00000X

NPI Details
NPI 1184679466
Enumeration Date 05/24/2006
Last Updated 02/06/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KHAJA KHAJA
Position OWNER
Phone (618) 235-6780
Fax (618) 235-6740
Practice Location
10 EMERALD TER
SWANSEA IL, 62226-2310, US
Phone (618) 235-6780
Fax (618) 235-6740
Business Location
10 EMERALD TER
SWANSEA IL, 62226-2310, US
Phone (618) 235-6780
Fax (618) 235-6740
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036112195
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According to our database, Master Medical Care Llc NPI is 1184679466, taxonomy code is 207R00000X and license number is 036112195, license state is located at Illinois. Master Medical Care Llc physically located at 10 Emerald Ter, Swansea IL, 62226-2310. NPI Number 1033115704 has the healthcare provider type.

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1184679466 NPI number is provided on an as is basis without warranty of any kind. 1184679466 is maintained by the National Plan & Provider Enumeration System. The contents of Master Medical Care Llc are for informational purposes only.