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Internal Medicine Physician

NPI: 1629562137IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Internal Medicine PhysicianPrimary

Internal Medicine

Code: 207R00000X

125.073233(IL)

CMS Specialties

PrimaryGERIATRIC MEDICINE

Additional

HOSPICE/PALLIATIVE CARE

Education

OTHER

Class of 2017

Contact & Hours

Via practice · 2 locations total

Address
2160 S 1ST AVE
MAYWOOD, IL 60153

Locations (2)

Practice Location

2160 S 1ST AVE, MAYWOOD, IL
(708) 216-5522

Practice Location

430 Home Ave Apt 302S, Oak Park, IL
(201) 496-4644

Quick Facts

NPI
1629562137
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
9

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