| Independent Medical Group Sc | |
|
100 Batson Ct Ste 204 New Lenox IL 60451-1571 | |
| (815) 462-1200 | |
| Not Available |
| Full Name | Independent Medical Group Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Batson Ct Ste 204, New Lenox, Illinois |
| Authorized Official Name and Position | Rajasekhar Kolla (OWNER) |
| Authorized Official Contact | 7733864797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Medical Group Sc 11039 Venezia Dr Frankfort IL 60423-9044 Ph: (773) 386-4797 | Independent Medical Group Sc 100 Batson Ct Ste 204 New Lenox IL 60451-1571 Ph: (815) 462-1200 |
| NPI Number | 1598319659 |
|---|---|
| Provider Enumeration Date | 07/27/2019 |
| Last Update Date | 09/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598319659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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