Nepomuceno Medical Associates,sc.

NPI #1225101926 in Homewood, Illinois

Provider Information

NPI Number: 1225101926
Entity Type: Organization
Organization Name: Nepomuceno Medical Associates,sc.
Primary Specialty: Specialist
Enumeration Date: Nov 17, 2006
Last Updated: Mar 31, 2021

Practice Location

Address: 18811 DIXIE HWY
Address 2: SUITE 200
City: Homewood
State: Illinois
ZIP Code: 60430-3919
Phone: (708) 799-6363

Authorized Official

Name: DR. EDILBERTO ELAZEGUI NEPOMUCENO JR., MD
Title: VP/TREASURER
Phone: (708) 799-6363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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