Epmg of Illinois LLC

NPI #1528098902 in Kankakee, Illinois

Provider Information

NPI Number: 1528098902
Entity Type: Organization
Organization Name: Epmg of Illinois LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jul 3, 2006
Last Updated: Jul 31, 2020

Practice Location

Address: 350 N WALL ST
City: Kankakee
State: Illinois
ZIP Code: 60901-2901
Phone: (469) 401-2386

Authorized Official

Name: DR. MIKE MIKHAIL, M.D.
Title: OFFICER
Phone: (973) 251-1132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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