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
- City
- South Beloit
- State
- Illinois
- 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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