South Beloit Office

NPI #1679839773 in South Beloit, Illinois

Provider Information

NPI Number
1679839773
Entity Type
Organization
Organization Name
South Beloit Office
Primary Specialty
General Practice
Enumeration Date
Apr 3, 2012
Last Updated
Apr 3, 2012

Practice Location

Address
1407 PATE PLAZA DR
ZIP Code
61080-1431
Phone
(630) 219-2002

Authorized Official

Name
MR. MUBEEN SALEEM
Title
BILLER
Phone
(224) 616-8645

Specialties & Taxonomy Codes

Specialty
General Practice

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