Progressive Medical Center Sc

NPI #1629128319 in Addison, Illinois

Provider Information

NPI Number: 1629128319
Entity Type: Organization
Organization Name: Progressive Medical Center Sc
Primary Specialty: Internal Medicine
Enumeration Date: Jan 12, 2007
Last Updated: Apr 7, 2011

Practice Location

Address: 414 W LAKE STREET
City: Addison
State: Illinois
ZIP Code: 60101
Phone: (630) 458-1905

Authorized Official

Name: GABRIELA HENRIQUEZ
Title: OFFICE MANAGER
Phone: (630) 238-9235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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