Organization · NPI-2
Alliance Laborist Group S.C.
Obstetrics & Gynecology · Berwyn, IL
NPI number1851760839
StatusActive
Last updated in NPPESSep 19, 2015
Details
- NPI
- 1851760839
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Laborist Group S.C.
- Organization subpart
- No
- Enumeration date
- Sep 19, 2015
- Last updated
- Sep 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
| 208M00000X | Hospitalist | – | – |
Practice location
3114 Oak Park AveBerwyn, IL 60402-3031
Phone 708-788-2038
Mailing address
3114 Oak Park AveBerwyn, IL 60402-3031
Phone 708-788-2038
Authorized official
Ramesh Seeras
Director
7087882038
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