Liberty Medical Center of Minooka, Sc

NPI #1639354780 in Minooka, Illinois

Provider Information

NPI Number: 1639354780
Entity Type: Organization
Organization Name: Liberty Medical Center of Minooka, Sc
Primary Specialty: Family Medicine
Enumeration Date: Jan 8, 2008
Last Updated: Jan 8, 2008

Practice Location

Address: 603 W MONDAMIN ST
City: Minooka
State: Illinois
ZIP Code: 60447-9057
Phone: (815) 521-1010

Authorized Official

Name: AFTAB A KHAN, M.D.
Title: PHYSICIAN
Phone: (815) 521-1010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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