NPI 1437350881

Your Doc of Melrose Park

Organisation Specialist Melrose Park, IL

Practice location

Address: 1111 Superior St Suite 306, Melrose Park, IL 60160-4138
Phone: (708) 450-0055
Fax: (708) 450-0288
Mailing address: PO Box 95748, Hoffman Estates, IL 60195-0748

Authorised official

Name: Steve Holowicki
Title: Chief Financial Officer
Phone: (847) 839-8800

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1437350881
Entity type: Organization
NPI issued: 31 May 2007
Record last updated: 22 Aug 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.