is a Internal Medicine in Tinley Park, Illinois. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for is 1780636944. The last update date is .
's current location address is 6700 167th St, Tinley Park, Illinois. You can contact this provider via phone number 7084293700 and fax number 7084294460. The mailing address for is 6700 167th St, Tinley Park, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 6700 167th St, Tinley Park, Illinois |
Phone Number | 7084293700 |
Fax Number | 7084294460 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1780636944 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 6700 167th St |
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City | Tinley Park |
State | Illinois (IL) |
Post Code | 604772859 |
Phone Number | 7084293700 |
Fax Number | 7084294460 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 036-090371 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1622760 | IL | BLUE SHIELD NUMBER | |
TAX ID | IL | 36-4295605 | |
36090371 | IL | -- |
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