Oakbrook Medical & Diagnostic Group
Psychiatry & Neurology, Neurology in Lombard, IL. Organization (NPI-2).
NPI number1619117165
StatusActive
Last updated in NPPESFeb 24, 2009
Details
- NPI
- 1619117165
- Entity type
- Organization (NPI-2)
- Legal business name
- Oakbrook Medical & Diagnostic Group
- Organization subpart
- No
- Enumeration date
- Feb 24, 2009
- Last updated
- Feb 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 036-111890 | IL | Yes |
Practice location
2200 S Main StSuite 214
Lombard, IL 60148-5334
Phone 630-364-4114 · Fax 866-868-7320
Mailing address
2200 S Main StSuite 214
Lombard, IL 60148-5334
Phone 630-364-4114 · Fax 866-868-7320
Authorized official
Jonathan I Wang
Ceo
6303644114
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