Active Wd Oon LLC
NPI #1780397448 in West Dundee, Illinois
Provider Information
- NPI Number
- 1780397448
- Entity Type
- Organization
- Organization Name
- Active Wd Oon LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Dec 27, 2022
- Last Updated
- Apr 18, 2023
Practice Location
- Address
- 758 S 8TH ST
- City
- West Dundee
- State
- Illinois
- ZIP Code
- 60118-2102
- Phone
- (847) 836-5202
Authorized Official
- Name
- JAMES MORGAN
- Title
- OFFICE MANAGER
- Phone
- (239) 970-2484
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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