The Medaddress, S.c.

NPI 1205075942 - Clinic/Center - 261QP2300X

NPI Details
NPI 1205075942
Enumeration Date 02/18/2009
Last Updated 11/02/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name NINA S NINA
Position PRESIDENT
Phone (847) 522-7505
Fax
Practice Location
303 E PARK AVE
SUITE 103
LIBERTYVILLE IL, 60048-2872, US
Phone (847) 522-7505
Fax
Business Location
303 E PARK AVE
SUITE 103
LIBERTYVILLE IL, 60048-2872, US
Phone (847) 522-7505
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, The Medaddress, S.c. NPI is 1205075942, taxonomy code is 261QP2300X The Medaddress, S.c. physically located at 303 E Park Ave, Libertyville IL, 60048-2872. NPI Number 1033115704 has the healthcare provider type.

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1205075942 NPI number is provided on an as is basis without warranty of any kind. 1205075942 is maintained by the National Plan & Provider Enumeration System. The contents of The Medaddress, S.c. are for informational purposes only.