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Organization
PHYSICIAN ON WHEELS
Active
Organization
PHYSICIAN ON WHEELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ACQUAYE-AWAH MD (SECRETARY)
(773) 807-0555
Entity
Organization
Contact information
Practice address
501 LINCOLN AVE, DOWNERS GROVE, IL 60515-3045
(773) 807-0555
Mailing address
PO BOX 7151, WESTCHESTER, IL 60154-7151
(773) 807-0555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036102126
IL
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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