Heritage Medical Group Ltd

NPI #1033121421 in Oak Lawn, Illinois

Provider Information

NPI Number: 1033121421
Entity Type: Organization
Organization Name: Heritage Medical Group Ltd
Primary Specialty: Specialist
Enumeration Date: Aug 13, 2006
Last Updated: Dec 6, 2007

Practice Location

Address: 5660 W 95TH ST
Address 2: SUITE 6
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2380
Phone: (708) 499-3676

Authorized Official

Name: MRS. MARIA N STAVRAKOS
Title: OFFICE MANAGER
Phone: (708) 499-3676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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