Registry details
Type
Organization
Primary specialty
Family Medicine
Enumerated
Aug 3, 2006
License(s)
036058180 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2315 E 93RD ST STE 340 | Chicago, IL 60617-3948 | 773-468-9000 |
| MAILING | 3040 SCOTT CRES | Flossmoor, IL 60422-1728 | 773-468-9000 |
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.