| Northwest Suburban Family Physician Llc | |
|
7900 N Milwaukee Ave Ste 234 Niles IL 60714-3244 | |
| (847) 966-1750 | |
| (847) 966-2724 |
| Full Name | Northwest Suburban Family Physician Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7900 N Milwaukee Ave, Niles, Illinois |
| Authorized Official Name and Position | Albert A Olorvida (ORGANIZER) |
| Authorized Official Contact | 8479661750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Suburban Family Physician Llc 7900 N Milwaukee Ave Ste 234 Niles IL 60714-3244 Ph: (847) 966-1750 | Northwest Suburban Family Physician Llc 7900 N Milwaukee Ave Ste 234 Niles IL 60714-3244 Ph: (847) 966-1750 |
| NPI Number | 1073573473 |
|---|---|
| Provider Enumeration Date | 03/28/2006 |
| Last Update Date | 09/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073573473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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