Greater Northwest Medical Group

NPI #1447280839 in Buffalo Grove, Illinois

Provider Information

NPI Number: 1447280839
Entity Type: Organization
Organization Name: Greater Northwest Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Jul 3, 2006
Last Updated: Oct 10, 2007

Practice Location

Address: 1300 BUSCH PKWY
City: Buffalo Grove
State: Illinois
ZIP Code: 60089-4505
Phone: (847) 459-7860

Authorized Official

Name: MR. MICHAEL C HARTKE, MBA
Title: ADMINISTRATOR
Phone: (847) 459-7860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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