Michael Vosicky DO Family Healthcare LLC
Family Medicine in Bloomingdale, IL. Organization (NPI-2).
NPI number1326436767
StatusActive
Last updated in NPPESApr 24, 2015
Details
- NPI
- 1326436767
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael Vosicky DO Family Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2015
- Last updated
- Apr 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036082782 | IL | Yes |
Practice location
245 S Gary AveSuite 204
Bloomingdale, IL 60108-2228
Phone 630-351-9170
Mailing address
245 S Gary AveSuite 204
Bloomingdale, IL 60108-2228
Phone 630-351-9170
Authorized official
Michael Vosicky
Owner
6303519170
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