| Pmg for Skilled Nursing LLC | |
|
1890 Silver Cross Blvd Ste 350 New Lenox IL 60451-9603 | |
| (815) 717-8737 | |
| (815) 717-8699 |
| Full Name | Pmg for Skilled Nursing LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1890 Silver Cross Blvd Ste 350, New Lenox, Illinois |
| Authorized Official Name and Position | Zafer Jawich (PRESIDENT) |
| Authorized Official Contact | 6308546540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmg for Skilled Nursing LLC 1890 Silver Cross Blvd Ste 350 New Lenox IL 60451-9603 Ph: (815) 717-8737 | Pmg for Skilled Nursing LLC 1890 Silver Cross Blvd Ste 350 New Lenox IL 60451-9603 Ph: (815) 717-8737 |
| NPI Number | 1861078776 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 03/22/2021 |
| Certification Date | 03/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861078776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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