Winchester Medical Group, S.C.
Internal Medicine in Libertyville, IL. Organization (NPI-2).
NPI number1497983191
StatusActive
Last updated in NPPESJul 1, 2009
Details
- NPI
- 1497983191
- Entity type
- Organization (NPI-2)
- Legal business name
- Winchester Medical Group, S.C.
- Organization subpart
- No
- Enumeration date
- Jul 1, 2009
- Last updated
- Jul 1, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036064653 | IL | Yes |
Practice location
1268 American WayLibertyville, IL 60048-3936
Phone 847-367-6400 · Fax 847-367-6888
Mailing address
1268 American WayLibertyville, IL 60048-3936
Phone 847-367-6400 · Fax 847-367-6888
Authorized official
Vicki A Reynolds
Administrator
8476801822
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