| Midwest Concussion & Sports Medicine Center | |
|
329 Remington Blvd Suite 140 Bolingbrook IL 60440-5827 | |
| (630) 312-6161 | |
| Not Available |
| Full Name | Midwest Concussion & Sports Medicine Center |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 329 Remington Blvd, Bolingbrook, Illinois |
| Authorized Official Name and Position | Yolanda Hill-williams (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6303127865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Concussion & Sports Medicine Center 329 Remington Blvd Suite 140 Bolingbrook IL 60440-5827 Ph: (630) 312-6161 | Midwest Concussion & Sports Medicine Center 329 Remington Blvd Suite 140 Bolingbrook IL 60440-5827 Ph: (630) 312-6161 |
| NPI Number | 1225391022 |
|---|---|
| Provider Enumeration Date | 06/18/2012 |
| Last Update Date | 06/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225391022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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