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2655 Warrenville Rd Ste 500 Downers Grove IL 60515-5646 | |
| (657) 400-5180 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 2655 Warrenville Rd Ste 500, Downers Grove, Illinois |
| Authorized Official Name and Position | Christopher Dennis (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6572372450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 Ph: () - | 2655 Warrenville Rd Ste 500 Downers Grove IL 60515-5646 Ph: (657) 400-5180 |
| NPI Number | 1043934292 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043934292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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