NPI 1588829410

Southwest Physicians Group-Hmo Site

Organisation Health Maintenance Organization Oak Lawn, IL

Practice location

Address: 4861 W 95th St, Oak Lawn, IL 60453-2521
Phone: (708) 425-4488

Authorised official

Name: Vicki Gaw
Title: Office Manager
Phone: (708) 425-4488

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Illinois →

Registry record

NPI: 1588829410
Entity type: Organization
NPI issued: 21 Jul 2008
Record last updated: 21 Jul 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.