Danaher Family Medicine Sc | |
19401 Wolf Rd Mokena IL 60448-1100 | |
(708) 323-7593 | |
Not Available |
Full Name | Danaher Family Medicine Sc |
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Speciality | Clinic/center |
Location | 19401 Wolf Rd, Mokena, Illinois |
Authorized Official Name and Position | Michele Ann Danaher (PHYSICIAN) |
Authorized Official Contact | 7089957488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Danaher Family Medicine Sc Po Box 94670 Oklahoma City OK 73143-4670 Ph: (708) 323-7593 | Danaher Family Medicine Sc 19401 Wolf Rd Mokena IL 60448-1100 Ph: (708) 323-7593 |
NPI Number | 1770914988 |
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Provider Enumeration Date | 12/13/2013 |
Last Update Date | 04/13/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770914988 | NPI | - | NPPES |
1679561773 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 036-102025 (Illinois) | Primary |
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