Organization · NPI-2
5 Pillars S.C.
Family Medicine · Wood Dale, IL
NPI number1619320983
StatusActive
Last updated in NPPESJul 21, 2016
Details
- NPI
- 1619320983
- Entity type
- Organization (NPI-2)
- Legal business name
- 5 Pillars S.C.
- Organization subpart
- No
- Enumeration date
- Jul 21, 2016
- Last updated
- Jul 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036127587 | IL | Yes |
Practice location
404 W Irving Park RdWood Dale, IL 60191-1343
Phone 773-544-5306
Mailing address
4579 N Mulligan AveChicago, IL 60630-3025
Phone 773-544-5306
Authorized official
Naaz Aziz
Owner
7735445306
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