Independent Medical Group Sc

NPI #1598319659 in New Lenox, Illinois

Provider Information

NPI Number: 1598319659
Entity Type: Organization
Organization Name: Independent Medical Group Sc
Primary Specialty: Family Medicine
Enumeration Date: Jul 27, 2019
Last Updated: Sep 3, 2019

Practice Location

Address: 100 BATSON CT STE 204
City: New Lenox
State: Illinois
ZIP Code: 60451-1571
Phone: (815) 462-1200

Authorized Official

Name: RAJASEKHAR KOLLA, MD
Title: OWNER
Phone: (773) 386-4797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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