Merrionette Park Physicians Group
NPI #1437186954 in Chicago Ridge, Illinois
Provider Information
- NPI Number
- 1437186954
- Entity Type
- Organization
- Organization Name
- Merrionette Park Physicians Group
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 28, 2006
- Last Updated
- Jan 3, 2012
Practice Location
- Address
- 9830 RIDGELAND AVE
- Address 2
- SUITE 7
- City
- Chicago Ridge
- State
- Illinois
- ZIP Code
- 60415-2667
- Phone
- (708) 422-6800
Authorized Official
- Name
- DR. JERRY R COLTRO
- Title
- PRESIDENT
- Phone
- (708) 422-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Rheumatology — Rheumatology |
| Internal Medicine |
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