Comprehensive Medical Care Associates LLC
General Practice in Lombard, IL. Organization (NPI-2).
NPI number1114699667
StatusActive
Last updated in NPPESMay 18, 2023
Details
- NPI
- 1114699667
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Medical Care Associates LLC
- Organization subpart
- No
- Enumeration date
- Oct 4, 2021
- Certification date
- May 18, 2023
- Last updated
- May 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 208600000X | Surgery | – | – |
Practice location
1263 S. Highland AvenueSuite 1e
Lombard, IL 60148-4572
Phone 630-261-0280 · Fax 630-261-0304
Mailing address
P.O. Box 528Hinsdale, IL 60522-0528
Phone 630-261-0280 · Fax 630-261-0304
Authorized official
John Greager
Owner
6302610280
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