Northwest Suburban Family Physician LLC

NPI #1073573473 in Niles, Illinois

Provider Information

NPI Number: 1073573473
Entity Type: Organization
Organization Name: Northwest Suburban Family Physician LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 28, 2006
Last Updated: Sep 28, 2011

Practice Location

Address: 7900 N MILWAUKEE AVE
Address 2: STE 234
City: Niles
State: Illinois
ZIP Code: 60714-3244
Phone: (847) 966-1750

Authorized Official

Name: ALBERT A OLORVIDA, MD
Title: ORGANIZER
Phone: (847) 966-1750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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