Registry details
Type
Organization
Primary specialty
Family Medicine
Enumerated
Aug 8, 2007
License(s)
036110045 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 724 | Orland Park, IL 60462-0724 | 708-364-7666 |
| LOCATION | 2222 W DIVISION ST STE 260 | Chicago, IL 60622-2990 | 773-227-3770 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.