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Independent Physician Group of Illinois

NPI #1548532351 in Chicago, Illinois

Provider Information

NPI Number
1548532351
Entity Type
Organization
Organization Name
Independent Physician Group of Illinois
Primary Specialty
Clinic/Center - Corporate Health
Enumeration Date
Feb 8, 2012
Last Updated
Feb 8, 2012

Practice Location

Address
111 E WACKER DR
Address 2
SUITE 107
City
Chicago
State
Illinois
ZIP Code
60601-3713
Phone
(866) 434-3255

Authorized Official

Name
DR. FREDRIC D LEARY, M.D.
Title
PRESIDENT
Phone
(312) 504-3389

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Corporate Health — Corporate Health

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