Community Medical Center of Dwight PC

NPI #1487983060 in Dwight, Illinois

Provider Information

NPI Number: 1487983060
Entity Type: Organization
Organization Name: Community Medical Center of Dwight PC
Primary Specialty: Family Medicine
Enumeration Date: Dec 10, 2009
Last Updated: Feb 19, 2010

Practice Location

Address: 103 S JOHN ST
City: Dwight
State: Illinois
ZIP Code: 60420-1413
Phone: (815) 584-3051

Authorized Official

Name: PAMELA MARIE CICHON
Title: OFFICE MANAGER
Phone: (815) 584-3051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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