Proponent Medical Group,ltd
Otolaryngology in Elgin, IL. Organization (NPI-2).
NPI number1720168024
StatusActive
Last updated in NPPESDec 28, 2021
Details
- NPI
- 1720168024
- Entity type
- Organization (NPI-2)
- Legal business name
- Proponent Medical Group,ltd
- Organization subpart
- No
- Enumeration date
- Oct 17, 2006
- Certification date
- Dec 28, 2021
- Last updated
- Dec 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 042617550 | IL | Yes |
Practice location
2350 Royal BlvdSuite 500
Elgin, IL 60123-4719
Phone 847-697-3800 · Fax 847-697-3804
Mailing address
2350 Royal BlvdSuite 500
Elgin, IL 60123-4719
Phone 847-697-3800 · Fax 847-697-3804
Authorized official
Lawrence F Berg
President
8476973800
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