Northwest Morton Grove Sc
NPI #1023723087 in Morton Grove, Illinois
Provider Information
- NPI Number
- 1023723087
- Entity Type
- Organization
- Organization Name
- Northwest Morton Grove Sc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 13, 2023
- Last Updated
- Jan 13, 2023
Practice Location
- Address
- 6841 DEMPSTER ST
- City
- Morton Grove
- State
- Illinois
- ZIP Code
- 60053-2628
- Phone
- (224) 233-0299
Authorized Official
- Name
- ANAND THAKKAR, MD
- Title
- OWNER
- Phone
- (224) 233-0299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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