Pallan Primary Care Ltd S C
Family Medicine in Oak Brook, IL. Organization (NPI-2).
NPI number1851753636
StatusActive
Last updated in NPPESJul 9, 2018
Details
- NPI
- 1851753636
- Entity type
- Organization (NPI-2)
- Legal business name
- Pallan Primary Care Ltd S C
- Organization subpart
- No
- Enumeration date
- Mar 22, 2016
- Last updated
- Jul 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036-137215 | IL | Yes |
Practice location
2425 W 22nd St Ste 211Oak Brook, IL 60523
Phone 630-368-3909
Mailing address
Po Box 428Downers Grove, IL 60515-0428
Phone 630-368-3909
Authorized official
Tony Varghese Pallan
President
9139809289
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