Midwest Institute For Wellness Llc | |
21720 W Long Grove Rd Ste 246 Deer Park IL 60010-3732 | |
(847) 309-7012 | |
Not Available |
Full Name | Midwest Institute For Wellness Llc |
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Speciality | Internal Medicine |
Location | 21720 W Long Grove Rd, Deer Park, Illinois |
Authorized Official Name and Position | Bino Oommen (PHYSICIAN) |
Authorized Official Contact | 8473097012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midwest Institute For Wellness Llc 21720 W Long Grove Rd Ste 246 Deer Park IL 60010-3732 Ph: (847) 309-7012 | Midwest Institute For Wellness Llc 21720 W Long Grove Rd Ste 246 Deer Park IL 60010-3732 Ph: (847) 309-7012 |
NPI Number | 1295165751 |
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Provider Enumeration Date | 11/20/2013 |
Last Update Date | 11/20/2013 |
Identifier | Type | State | Issuer |
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1295165751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-119123 (* (Not Available)) | Primary |
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