Rush Oak Park Physicians Group Family Medicine

NPI 1194096610 - Family Medicine - 207Q00000X

NPI Details
NPI 1194096610
Enumeration Date 01/13/2012
Last Updated 02/09/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICHAEL R MICHAEL
Position MD/AUTHORIZED OFFICIAL
Phone (708) 660-2900
Fax
Practice Location
610 S MAPLE AVE
SUITE 2500
OAK PARK IL, 60304-1091, US
Phone (708) 660-2900
Fax
Business Location
610 S MAPLE AVE
SUITE 2500
OAK PARK IL, 60304-1091, US
Phone (708) 660-2900
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Rush Oak Park Physicians Group Family Medicine NPI is 1194096610, taxonomy code is 207Q00000X Rush Oak Park Physicians Group Family Medicine physically located at 610 S Maple Ave, Oak Park IL, 60304-1091. NPI Number 1033115704 has the healthcare provider type.

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1194096610 NPI number is provided on an as is basis without warranty of any kind. 1194096610 is maintained by the National Plan & Provider Enumeration System. The contents of Rush Oak Park Physicians Group Family Medicine are for informational purposes only.