St Mary Internal Medicine Associates S C
NPI #1710009204 in Plainfield, Illinois
Provider Information
- NPI Number
- 1710009204
- Entity Type
- Organization
- Organization Name
- St Mary Internal Medicine Associates S C
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 4, 2007
- Last Updated
- Nov 30, 2010
Practice Location
- Address
- 2320 S ROUTE 59
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60586-7756
- Phone
- (815) 609-9480
Authorized Official
- Name
- DR. ASHRAF ASSAAD ISKANDER, MD
- Title
- PRESIDENT
- Phone
- (815) 609-9480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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