| Ngr Llc | |
|
1111 Superior St Suite 304 Melrose Park IL 60160-4156 | |
| (708) 786-7100 | |
| (708) 786-7101 |
| Full Name | Ngr Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1111 Superior St, Melrose Park, Illinois |
| Authorized Official Name and Position | Elizabeth Romero (OFFICE MANAGER) |
| Authorized Official Contact | 7737911048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ngr Llc 1111 Superior St Ste 304 Melrose Park IL 60160-4156 Ph: (708) 786-7100 | Ngr Llc 1111 Superior St Suite 304 Melrose Park IL 60160-4156 Ph: (708) 786-7100 |
| NPI Number | 1063046019 |
|---|---|
| Provider Enumeration Date | 02/28/2020 |
| Last Update Date | 02/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063046019 | NPI | - | NPPES |
| 036078622 | Other | IL | STATE LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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