Organization · Type 2 NPI
Physicians Community Medical Center North, S.c.
Addiction Medicine (Family Medicine) Physician · Oak Forest, IL
NPI number
1649553892
Active
Practice location
5320 159th St # 2N
Oak Forest, IL 60452-4705
Fax (708) 535-6396
Mailing address
5320 159th St Ste 400
Oak Forest, IL 60452-3334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1649553892
Physicians Community Medical Center North, S.c.'s National Provider Identifier is 1649553892, issued on Sep 23, 2011. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Oak Forest, IL. The record was last updated on Sep 18, 2012.