NPI 1023894557

Chinese Provider Group of Illinois PLLC

Organisation General Practice Physician Bourbonnais, IL

Practice location

Address: 201 Park Pl STE 2, Bourbonnais, IL 60914-1883
Phone: (833) 308-8876
Mailing address: 1106 Midwest Club Pkwy, Oak Brook, IL 60523-2535

Authorised official

Name: Ming Xu
Title: President
Phone: (833) 308-8876

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Illinois →

Registry record

NPI: 1023894557
Entity type: Organization
NPI issued: 31 Aug 2023
Record last updated: 31 Aug 2023

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.