NPI 1306129556

Physicians Community Medical Center Hazel Crest,s.C.

Organisation Family Medicine Physician Hazel Crest, IL

Practice location

Address: 3330 W 177th St, Hazel Crest, IL 60429-2184
Phone: (708) 798-8112
Fax: (708) 535-6396
Mailing address: 5320 159th St, Oak Forest, IL 60452-4705

Authorised official

Name: Cherise Lee-Smith
Title: Medical Billing Manager
Phone: (708) 798-8112

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Illinois →

Registry record

NPI: 1306129556
Entity type: Organization
NPI issued: 23 Sep 2011
Record last updated: 18 Sep 2012

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.