| Liberty Medical Center Of Minooka, Sc | |
|
603 W Mondamin St Minooka IL 60447-9057 | |
| (815) 521-1010 | |
| (815) 521-1826 |
| Full Name | Liberty Medical Center Of Minooka, Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 603 W Mondamin St, Minooka, Illinois |
| Authorized Official Name and Position | Aftab A Khan (PHYSICIAN) |
| Authorized Official Contact | 8155211010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Medical Center Of Minooka, Sc 603 W Mondamin St Minooka IL 60447-9057 Ph: (815) 521-1010 | Liberty Medical Center Of Minooka, Sc 603 W Mondamin St Minooka IL 60447-9057 Ph: (815) 521-1010 |
| NPI Number | 1639354780 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 01/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639354780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Demask Family Medical S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 S Wabena Ave, Suite Ll-a, Minooka, IL 60447 Phone: 815-467-5100 |