Physicians Edge Pho

NPI #1831356690 in Westmont, Illinois

Provider Information

NPI Number: 1831356690
Entity Type: Organization
Organization Name: Physicians Edge Pho
Subpart: Yes (part of a larger organization)
Parent Organization: MACNEAL HEALTH PROVIDERS, INC.
Primary Specialty: General Practice
Enumeration Date: May 20, 2008
Last Updated: May 20, 2008

Practice Location

Address: 750 PASQUINELLI DR
Address 2: SUITE 204
City: Westmont
State: Illinois
ZIP Code: 60559-5567
Phone: (708) 783-7153

Authorized Official

Name: MR. KIM A ARMSTRONG
Title: DIRECTOR
Phone: (708) 783-7153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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