| Palos Community Hospital (icc Physician Group) | |
|
15300 West Ave Orland Park IL 60462-4600 | |
| (708) 460-5550 | |
| (708) 226-2630 |
| Full Name | Palos Community Hospital (icc Physician Group) |
|---|---|
| Speciality | Family Medicine |
| Location | 15300 West Ave, Orland Park, Illinois |
| Authorized Official Name and Position | Margaret Wright (PRESIDENT) |
| Authorized Official Contact | 7089235000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palos Community Hospital (icc Physician Group) 15300 West Ave Orland Park IL 60462-4600 Ph: (708) 460-5550 | Palos Community Hospital (icc Physician Group) 15300 West Ave Orland Park IL 60462-4600 Ph: (708) 460-5550 |
| NPI Number | 1588797641 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588797641 | NPI | - | NPPES |
| 0001619045 | Other | IN | BLUE CROSS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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