Prospect Healthcare Sc

NPI #1194044743 in Lombard, Illinois

Provider Information

NPI Number: 1194044743
Entity Type: Organization
Organization Name: Prospect Healthcare Sc
Primary Specialty: Family Medicine
Enumeration Date: May 21, 2010
Last Updated: Sep 13, 2016

Practice Location

Address: 2 E 22ND ST
Address 2: SUITE 110
City: Lombard
State: Illinois
ZIP Code: 60148-6106
Phone: (630) 376-6317

Authorized Official

Name: DR. GARTRELL KING, MD
Title: PHYSICIAN
Phone: (630) 376-6317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Family Medicine	207Q00000X	Primary

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