Gurnee Physical Medicine Ltd

NPI #1467677948 in Gurnee, Illinois

Provider Information

NPI Number: 1467677948
Entity Type: Organization
Organization Name: Gurnee Physical Medicine Ltd
Primary Specialty: Specialist
Enumeration Date: Apr 17, 2007
Last Updated: Mar 7, 2008

Practice Location

Address: 5415 GRAND AVE
City: Gurnee
State: Illinois
ZIP Code: 60031-4906
Phone: (847) 336-4444

Authorized Official

Name: MR. NEELESH PATEL III
Title: CLINIC DIRECTOR
Phone: (847) 336-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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