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Organization
MEYER FAMILY MEDICINE ASSOCIATES LLC
Active
Organization
MEYER FAMILY MEDICINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN MEYER D.O. (PHYSICIAN/ CO-PRESIDENT)
(847) 966-9878
Entity
Organization
Contact information
Practice address
7900 N MILWAUKEE AVE, SUITE 2-23, NILES, IL 60714-3159
(847) 966-9878
(847) 213-2057
Mailing address
7900 N MILWAUKEE AVE, SUITE 2-23, NILES, IL 60714-3159
(847) 966-9878
(847) 213-2057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623900
BLUE CROSS & BLUE SHIELD OF ILLINOIS
IL
05
—
036092039
—
IL
05
—
036098934
—
IL
Enumeration date
09/18/2007
Last updated
06/12/2013
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