West Suburban Medical Group

NPI 1073745758 - Internal Medicine - 207R00000X

NPI Details
NPI 1073745758
Enumeration Date 08/14/2009
Last Updated 08/14/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RUBINA RUBINA
Position OWNER
Phone (815) 744-8600
Fax
Practice Location
1717 GLENWOOD AVE
JOLIET IL, 60435-5835, US
Phone (815) 744-8600
Fax
Business Location
PO BOX 3466
LISLE IL, 60532-8466, US
Phone (630) 375-6500
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036-107398
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According to our database, West Suburban Medical Group NPI is 1073745758, taxonomy code is 207R00000X and license number is 036-107398, license state is located at Illinois. West Suburban Medical Group physically located at 1717 Glenwood Ave, Joliet IL, 60435-5835. NPI Number 1033115704 has the healthcare provider type.

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1073745758 NPI number is provided on an as is basis without warranty of any kind. 1073745758 is maintained by the National Plan & Provider Enumeration System. The contents of West Suburban Medical Group are for informational purposes only.