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Organization

WINCHESTER MEDICAL GROUP, S.C.

Active
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Organization

WINCHESTER MEDICAL GROUP, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VICKI A REYNOLDS R.N. (ADMINISTRATOR)
(847) 680-1822
Entity
Organization

Contact information

Practice address
1268 AMERICAN WAY, LIBERTYVILLE, IL 60048-3936
(847) 367-6400
(847) 367-6888
Mailing address
1268 AMERICAN WAY, LIBERTYVILLE, IL 60048-3936
(847) 367-6400
(847) 367-6888

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036064653
IL

Other

Enumeration date
07/01/2009
Last updated
07/01/2009
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