Organization · Type 2 NPI

Mediverse Professional Group PLLC

Family Medicine Physician · Oak Brook, IL

NPI number 1699695791 Active

Practice location

2210 Midwest Rd Ste 111A
Oak Brook, IL 60523-1280

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Urgent Care Clinic/Center 261QU0200XNone 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.

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About NPI 1699695791

Mediverse Professional Group PLLC's National Provider Identifier is 1699695791, issued on Jul 18, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Oak Brook, IL. The record was last updated on Jul 30, 2026.