# INJURY MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700658176
- **Authorized official:** MOATZZ MOHAMED (OWNER)
- **Authorized official phone:** (708) 705-4438

## Contact information

- **Practice address:** 6060 W 95TH ST, OAK LAWN, IL 60453-2778
- **Practice address phone:** (708) 529-0205
- **Mailing address:** 6060 W 95TH ST, OAK LAWN, IL 60453-2778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2023
- **Last updated:** 10/27/2023