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Organization
MACNEAL PHYSICIANS GROUP LLC
Active
Organization
MACNEAL PHYSICIANS GROUP LLC
Active
Other names
Vanguard Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET)
(818) 436-2267
Entity
Organization
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-3222
(708) 783-3489
Mailing address
20 BURTON HILLS BLVD, SUITE 100, ATTENTION, CAROL BAILEY, NASHVILLE, TN 37215-6197
(615) 665-6000
(615) 665-6184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
Other
Enumeration date
10/09/2007
Last updated
03/18/2021
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