Physician Management Services of Northern Illinois, LLC

NPI #1053886481 in Niles, Illinois

Provider Information

NPI Number: 1053886481
Entity Type: Organization
Organization Name: Physician Management Services of Northern Illinois, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: VAXCARE CORPORATION
Primary Specialty: Family Medicine
Enumeration Date: Oct 12, 2018
Last Updated: Apr 27, 2021

Practice Location

Address: 7900 N MILWAUKEE AVE
City: Niles
State: Illinois
ZIP Code: 60714-3159
Phone: (888) 829-8550

Authorized Official

Name: BRETT KENEFICK
Title: PRESIDENT
Phone: (888) 829-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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