Organization · Type 2 NPI
Docs To Go
Adult Medicine Physician · Lynwood, IL
NPI number
1013178847
Active
Practice location
2241 207th Pl
Lynwood, IL 60411-1538
Mailing address
PO Box 1013
Matteson, IL 60443-4013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1013178847
Docs To Go's National Provider Identifier is 1013178847, issued on Jun 24, 2008. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Lynwood, IL. The record was last updated on Jun 24, 2008.