NPI age
11 years
Enumerated 2014-06-16
Across 935 active internal medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (IL) | 036142672 | |
| 01 (IL) | 036.142672 | ILLINOIS PHYSICIAN LICENSE |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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