institution
Park Primary Care Ltd
General Practice Physician in Evergreen Park, Illinois
NPI 1891984068

Park Primary Care Ltd is a General Practice Physician based in Evergreen Park, IL. Park Primary Care Ltd practices in Evergreen Park, IL. The NPI Number for Park Primary Care Ltd is 1891984068 and holds a License No. (Illinois).

The current practice location address for Park Primary Care Ltd is 9760 S Kedzie Ave, Evergreen Park, IL and can be reached out via phone at 708-423-8150 and via fax at 708-423-8152.

Location: 9760 S Kedzie Ave, Evergreen Park, IL, 60805-3109
institution
Provider Profile Details
NPI Number
1891984068
Provider Name
Park Primary Care Ltd
Credential
Provider Entity Type
Organization
Address
9760 S Kedzie Ave, Evergreen Park, IL, 60805-3109
Phone Number
708-423-8150
Fax Number
708-423-8152
Provider Enumeration Date
10/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA1215 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
9760 S Kedzie Ave
City
State
Zip
60805-3109
Phone Number
708-423-8150
Fax Number
708-423-8152
person
Provider Business Mailing Address Details
Address
9760 S Kedzie Ave
City
State
Zip
60805-3109
Phone Number
708-423-8150
Fax Number
708-423-8152
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
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Definition
Definition to come...
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