Northwest Family Clinic Inc.

NPI 1003931387 - Family Medicine - 207Q00000X

NPI Details
NPI 1003931387
Enumeration Date 03/19/2007
Last Updated 08/08/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VIRENDRA M VIRENDRA
Position PRESIDENT
Phone (847) 454-1001
Fax (847) 454-1002
Practice Location
770 E NORTHWEST HWY
MOUNT PROSPECT IL, 60056-3464, US
Phone (847) 454-1001
Fax (847) 454-1002
Business Location
770 E NORTHWEST HWY
MOUNT PROSPECT IL, 60056-3464, US
Phone (847) 454-1001
Fax (847) 454-1002
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036-056559
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According to our database, Northwest Family Clinic Inc. NPI is 1003931387, taxonomy code is 207Q00000X and license number is 036-056559, license state is located at Illinois. Northwest Family Clinic Inc. physically located at 770 E Northwest Hwy, Mount Prospect IL, 60056-3464. NPI Number 1033115704 has the healthcare provider type.

1003931387 NPI number is provided on an as is basis without warranty of any kind. 1003931387 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Family Clinic Inc. are for informational purposes only.