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Organization
MEDICAL SURGICAL GROUP
Active
Organization
MEDICAL SURGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS R. MUNOZ M.D. (MEDICAL DIRECTOR)
77338100380
Entity
Organization
Contact information
Practice address
7456 S STATE RD, SUITE 104, BEDFORD PARK, IL 60638-6623
(773) 382-0380
Mailing address
7456 S STATE RD, SUITE 104, BEDFORD PARK, IL 60638-6623
(773) 382-0380
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
036-075843
IL
Other
Enumeration date
10/13/2013
Last updated
10/13/2013
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