Palos Medical Care Sc

NPI 1073683439 - Family Medicine - 207Q00000X

NPI Details
NPI 1073683439
Enumeration Date 11/09/2006
Last Updated 07/31/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PRANAV PRANAV
Position PRESIDENT
Phone (708) 389-7662
Fax (708) 389-7664
Practice Location
12800 S RIDGELAND AVE
UNIT D
PALOS HEIGHTS IL, 60463, US
Phone (708) 389-7662
Fax (708) 389-7664
Business Location
PO BOX 762
WORTH IL, 60482, US
Phone (708) 389-7663
Fax (708) 389-7664
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036091090
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According to our database, Palos Medical Care Sc NPI is 1073683439, taxonomy code is 207Q00000X and license number is 036091090, license state is located at Illinois. Palos Medical Care Sc physically located at 12800 S Ridgeland Ave, Palos Heights IL, 60463. NPI Number 1033115704 has the healthcare provider type.

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1073683439 NPI number is provided on an as is basis without warranty of any kind. 1073683439 is maintained by the National Plan & Provider Enumeration System. The contents of Palos Medical Care Sc are for informational purposes only.