Medgenius INC.
Internal Medicine in Palos Park, IL. Organization (NPI-2).
NPI number1962800581
StatusActive
Last updated in NPPESDec 12, 2014
Details
- NPI
- 1962800581
- Entity type
- Organization (NPI-2)
- Legal business name
- Medgenius INC.
- Organization subpart
- No
- Enumeration date
- Dec 12, 2014
- Last updated
- Dec 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
107 Forest Edge DrPalos Park, IL 60464-1949
Phone 312-505-3000
Mailing address
107 Forest Edge DrPalos Park, IL 60464-1949
Phone 312-505-3000
Authorized official
Sujith Sundararaj
President
3125053000
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