NPI 1770953986

Mrs Integrative Medicine LLC

Organisation Adult Medicine Physician Warrenville, IL

Practice location

Address: 3s630 Glen Dr S, Warrenville, IL 60555-3506
Phone: (248) 872-6963

Authorised official

Name: Ajay Sharma
Title: Owner
Phone: (312) 266-8565

Registered specialties

Adult Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QA0505X Licence 036112797 (IL)

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Registry record

NPI: 1770953986
Entity type: Organization
NPI issued: 30 Sep 2015
Record last updated: 30 Sep 2015

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.