Organization · Type 2 NPI

Prospect Healthcare SC

Family Medicine Physician · Lombard, IL

NPI number 1194044743 Active

Practice location

2 E 22nd St, Suite 110
Lombard, IL 60148-6106

Call (630) 376-6317 Map

Fax (630) 376-6319

Mailing address

2 E 22nd St Ste 215
Lombard, IL 60148-6125

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12 other providers at this address

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About NPI 1194044743

Prospect Healthcare SC's National Provider Identifier is 1194044743, issued on May 21, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lombard, IL. The record was last updated on May 5, 2026.