Organization · Type 2 NPI
Shorewood Elite Healthcare SC
General Practice Physician · Shorewood, IL
NPI number
1912338062
Active
Practice location
850 Brook Forest Ave Unit Opq
Shorewood, IL 60404-8513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 036072380 (IL) |
| General Practice Physician Primary | 208D00000X | 036072380 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1912338062
Shorewood Elite Healthcare SC's National Provider Identifier is 1912338062, issued on Nov 27, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Shorewood, IL. The record was last updated on Sep 24, 2014.