Organization · Type 2 NPI
Independent Physician Group of Illinois, LLC
Primary Care Clinic/Center · Indianapolis, IN
NPI number
1982020343
Active
Practice location
1 American Sq Ste 2610
Indianapolis, IN 46282-0004
Fax (866) 422-0915
Mailing address
4151 E 96th St
Indianapolis, IN 46240-1442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1982020343
Independent Physician Group of Illinois, LLC's National Provider Identifier is 1982020343, issued on Mar 10, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 15, 2018.