Healthstop Sc

NPI #1225684640 in Berwyn, Illinois

Provider Information

NPI Number: 1225684640
Entity Type: Organization
Organization Name: Healthstop Sc
Primary Specialty: Family Medicine
Enumeration Date: Aug 12, 2019
Last Updated: Aug 12, 2019

Practice Location

Address: 3635 S HARLEM AVE
City: Berwyn
State: Illinois
ZIP Code: 60402-3212
Phone: (708) 447-9402

Authorized Official

Name: MANOHAR JETHANI, MD
Title: PRESIDENT
Phone: (708) 447-9402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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