Greenleaf Medical Associates S.c.

NPI #1447310479 in Park City, Illinois

Provider Information

NPI Number: 1447310479
Entity Type: Organization
Organization Name: Greenleaf Medical Associates S.c.
Primary Specialty: Internal Medicine
Enumeration Date: Dec 11, 2006
Last Updated: Dec 19, 2024

Practice Location

Address: 401 GREENLEAF AVE
Address 2: 1
City: Park City
State: Illinois
ZIP Code: 60085-5744
Phone: (847) 662-0978

Authorized Official

Name: MR. JOE ANTHONY
Title: ADMINISTRATOR
Phone: (847) 662-0977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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