| Third Millennium, Llc | |
|
22126 Princeton Ct Frankfort IL 60423-8510 | |
| (708) 373-0465 | |
| Not Available |
| Full Name | Third Millennium, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22126 Princeton Ct, Frankfort, Illinois |
| Authorized Official Name and Position | Lance Wallace (PRESIDENT) |
| Authorized Official Contact | 7083730465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Millennium, Llc 22126 Princeton Ct Frankfort IL 60423-8510 Ph: (708) 373-0465 | Third Millennium, Llc 22126 Princeton Ct Frankfort IL 60423-8510 Ph: (708) 373-0465 |
| NPI Number | 1942626478 |
|---|---|
| Provider Enumeration Date | 03/07/2014 |
| Last Update Date | 03/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942626478 | NPI | - | NPPES |
| 036085478 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036085478 (Illinois) | Primary |
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