| Nmpg | |
|
680 N Lake Shore Dr Suite 818 Chicago IL 60611-4546 | |
| (312) 926-6146 | |
| Not Available |
| Full Name | Nmpg |
|---|---|
| Speciality | Internal Medicine |
| Location | 680 N Lake Shore Dr, Chicago, Illinois |
| Authorized Official Name and Position | Justin Johnson (VP FINANCE) |
| Authorized Official Contact | 3129261599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nmpg 680 N Lake Shore Dr Suite 818 Chicago IL 60611-4546 Ph: (312) 926-6146 | Nmpg 680 N Lake Shore Dr Suite 818 Chicago IL 60611-4546 Ph: (312) 926-6146 |
| NPI Number | 1538111299 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 09/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538111299 | NPI | - | NPPES |
| IL5771 | Other | IL | LAKE FOREST MEDICARE |
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