Elmhurst Memorial Affiliated Primary Care Physicians, LLC

NPI #1275779407 in Melrose Park, Illinois

Provider Information

NPI Number: 1275779407
Entity Type: Organization
Organization Name: Elmhurst Memorial Affiliated Primary Care Physicians, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Dec 17, 2008
Last Updated: Dec 26, 2008

Practice Location

Address: 675 W NORTH AVE
Address 2: SUITE 505
City: Melrose Park
State: Illinois
ZIP Code: 60160-1634
Phone: (708) 681-7640

Authorized Official

Name: MRS. MARY STULL
Title: COO
Phone: (630) 758-9923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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