Oak Lawn Physical Medicine LLC

NPI #1649514571 in Oak Lawn, Illinois

Provider Information

NPI Number: 1649514571
Entity Type: Organization
Organization Name: Oak Lawn Physical Medicine LLC
Primary Specialty: General Practice
Enumeration Date: Nov 15, 2012
Last Updated: May 16, 2013

Practice Location

Address: 10250 CENTRAL AVE
City: Oak Lawn
State: Illinois
ZIP Code: 60453-4602
Phone: (708) 423-1440

Authorized Official

Name: MR. JEFFREY R HOEKSTRA
Title: OWNER
Phone: (708) 423-1440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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