Prairie Glen Family Medicine

NPI 1013068311 - Family Medicine - 207Q00000X

NPI Details
NPI 1013068311
Enumeration Date 01/15/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK ALLEN MARK
Position PRESIDENT
Phone (847) 904-7800
Fax (847) 904-7122
Practice Location
2550 COMPASS RD
SUITE A-B
GLENVIEW IL, 60026-1610, US
Phone (847) 904-7800
Fax (847) 904-7122
Business Location
2550 COMPASS RD
SUITE A-B
GLENVIEW IL, 60026-1610, US
Phone (847) 904-7800
Fax (847) 904-7122
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1013068311 NPI Number
 

According to our database, Prairie Glen Family Medicine NPI is 1013068311, taxonomy code is 207Q00000X Prairie Glen Family Medicine physically located at 2550 Compass Rd, Glenview IL, 60026-1610. NPI Number 1033115704 has the healthcare provider type.

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1013068311 NPI number is provided on an as is basis without warranty of any kind. 1013068311 is maintained by the National Plan & Provider Enumeration System. The contents of Prairie Glen Family Medicine are for informational purposes only.