I2 Medicine LLC

NPI #1912559303 in Oak Park, Illinois

Provider Information

NPI Number: 1912559303
Entity Type: Organization
Organization Name: I2 Medicine LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 15, 2019
Last Updated: Jul 15, 2019

Practice Location

Address: 1100 LAKE ST STE 125
City: Oak Park
State: Illinois
ZIP Code: 60301-6702
Phone: (773) 490-5611

Authorized Official

Name: DOMINIC D PATAWARAN, MD
Title: CO-OWNER
Phone: (773) 490-5611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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