Organization · Type 2 NPI
Countryside Medical SC
Specialist · Countryside, IL
NPI number
1366726283
Active
Practice location
6555 S Willow Springs Rd, Suites 1 & 2
Countryside, IL 60525
Fax (708) 482-0217
Mailing address
PO Box 700
Wheaton, IL 60187-0700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
About NPI 1366726283
Countryside Medical SC's National Provider Identifier is 1366726283, issued on Oct 11, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Countryside, IL. The record was last updated on Jul 21, 2022.