Oakbrook Medical & Diagnostic Group | |
2200 S Main St Suite 214 Lombard IL 60148-5334 | |
(630) 364-4114 | |
(866) 868-7320 |
Full Name | Oakbrook Medical & Diagnostic Group |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 2200 S Main St, Lombard, Illinois |
Authorized Official Name and Position | Jonathan I Wang (CEO) |
Authorized Official Contact | 6303644114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oakbrook Medical & Diagnostic Group 2200 S Main St Suite 214 Lombard IL 60148-5334 Ph: (630) 364-4114 | Oakbrook Medical & Diagnostic Group 2200 S Main St Suite 214 Lombard IL 60148-5334 Ph: (630) 364-4114 |
NPI Number | 1619117165 |
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Provider Enumeration Date | 02/24/2009 |
Last Update Date | 02/24/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619117165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 036-111890 (Illinois) | Primary |
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