Niles Medical S.c.

NPI 1043469372 - Clinic/Center - 261Q00000X

NPI Details
NPI 1043469372
Enumeration Date 09/10/2008
Last Updated 09/10/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name EDWIN JOHN EDWIN
Position PRESIDENT
Phone (847) 647-1771
Fax (847) 647-5981
Practice Location
7157 W HOWARD ST
NILES IL, 60714-3757, US
Phone (847) 647-1771
Fax (847) 647-5981
Business Location
7157 W HOWARD ST
NILES IL, 60714-3757, US
Phone (847) 647-1771
Fax (847) 647-5981
Toxanomy
Taxonomy Code 261Q00000X
License State Illinois
License Number 036054224
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According to our database, Niles Medical S.c. NPI is 1043469372, taxonomy code is 261Q00000X and license number is 036054224, license state is located at Illinois. Niles Medical S.c. physically located at 7157 W Howard St, Niles IL, 60714-3757. NPI Number 1033115704 has the healthcare provider type.

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1043469372 NPI number is provided on an as is basis without warranty of any kind. 1043469372 is maintained by the National Plan & Provider Enumeration System. The contents of Niles Medical S.c. are for informational purposes only.