Kishwaukee Corporate Health @moi

NPI #1467841809 in Sycamore, Illinois

Provider Information

NPI Number
1467841809
Entity Type
Organization
Organization Name
Kishwaukee Corporate Health @moi
Primary Specialty
Clinic/Center - Occupational Medicine
Enumeration Date
Jan 22, 2015
Last Updated
Jan 22, 2015

Practice Location

Address
2111 MIDLANDS CT
Address 2
SUITE 201
ZIP Code
60178-3125
Phone
(181) 575-4488

Authorized Official

Name
DR. PATRICK G GANNON, DO
Title
PHYSICIAN
Phone
(815) 754-4882

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Occupational MedicineOccupational Medicine

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