| On Site Physician Services, Pc | |
|
6131 Telegraph Road Commerce CA 90040 | |
| (323) 721-2100 | |
| (815) 759-5202 |
| Full Name | On Site Physician Services, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6131 Telegraph Road, Commerce, California |
| Authorized Official Name and Position | Brian Wilbur (PRESIDENT) |
| Authorized Official Contact | 2138403181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Site Physician Services, Pc 4805 Prime Parkway Po Box 550 Mchenry IL 60050 Ph: (815) 363-9500 | On Site Physician Services, Pc 6131 Telegraph Road Commerce CA 90040 Ph: (323) 721-2100 |
| NPI Number | 1881178358 |
|---|---|
| Provider Enumeration Date | 09/20/2018 |
| Last Update Date | 09/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881178358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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