NPI 1023260023

Medpro Visiting Physicians, LLC

Organisation General Practice Physician Skokie, IL

Practice location

Address: 7518 Tripp Ave, Skokie, IL 60076-3812
Phone: (773) 727-2751
Fax: (630) 226-5390
Mailing address: 1571 Woodland Ln, Bolingbrook, IL 60490-3273

Authorised official

Name: Arnel Villaroman Malungcot
Title: Administrator
Phone: (773) 727-2751

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1023260023
Entity type: Organization
NPI issued: 21 Oct 2008
Record last updated: 21 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.