NPI 1063046019
Ngr LLC
Practice location
- Address
- 1111 Superior St Suite 304, Melrose Park, IL 60160-4156
- Phone
- (708) 786-7100
- Fax
- (708) 786-7101
- Mailing address
- 1111 Superior St STE 304, Melrose Park, IL 60160-4156
Authorised official
- Name
- Elizabeth Romero
- Title
- Office Manager
- Phone
- (773) 791-1048
Registered specialties
Primary Care Clinic/Center
Primary
Registry record
- NPI
- 1063046019
- Entity type
- Organization
- NPI issued
- 28 Feb 2020
- Record last updated
- 28 Feb 2020
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.