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Active Wd Inn Llc
General Practice Physician in West Dundee, Illinois
NPI 1710699616

Active Wd Inn Llc is a General Practice Physician based in West Dundee, IL. Active Wd Inn Llc practices in West Dundee, IL. The NPI Number for Active Wd Inn Llc is 1710699616 and holds a License No. (Illinois).

The current practice location address for Active Wd Inn Llc is 754 S 8Th St, West Dundee, IL and can be reached out via phone at 847-836-5202.

Location: 754 S 8Th St, West Dundee, IL, 60118-2102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710699616
Provider Name
Active Wd Inn Llc
Credential
Provider Entity Type
Organization
Address
754 S 8Th St, West Dundee, IL, 60118-2102
Phone Number
847-836-5202
Fax Number
Provider Enumeration Date
12/22/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
754 S 8Th St
City
West Dundee
State
Illinois
Zip
60118-2102
Phone Number
847-836-5202
Fax Number
person
Provider Business Mailing Address Details
Address
754 S 8Th St
City
West Dundee
State
Illinois
Zip
60118-2102
Phone Number
847-836-5202
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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