San Fernando Healthcare INC
Family Medicine in Wheeling, IL. Organization (NPI-2).
NPI number1821342916
StatusActive
Last updated in NPPESOct 29, 2012
Details
- NPI
- 1821342916
- Entity type
- Organization (NPI-2)
- Legal business name
- San Fernando Healthcare INC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2012
- Last updated
- Oct 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
505 N Wolf RdWheeling, IL 60090-3027
Phone 847-808-0017 · Fax 847-305-2533
Mailing address
505 N Wolf RdWheeling, IL 60090-3027
Phone 847-808-0017 · Fax 847-305-2533
Authorized official
Vladimir Neverovskiy
Owner
8478080017
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