Pcmc East
NPI #1124371133 in Oak Forest, Illinois
Provider Information
- NPI Number
- 1124371133
- Entity Type
- Organization
- Organization Name
- Pcmc East
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 16, 2012
- Last Updated
- Oct 16, 2012
Practice Location
- Address
- 5320 159TH ST
- Address 2
- SUITE 400
- City
- Oak Forest
- State
- Illinois
- ZIP Code
- 60452-4705
- Phone
- (708) 798-8112
Authorized Official
- Name
- MS. ROBYN C LEE-SMITH
- Title
- CREDENTIALING SPECIALIST
- Phone
- (708) 798-8112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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