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Organization
PREFERRED PHYSICIAN MEDICAL GROUP,LTD
Active
Organization
PREFERRED PHYSICIAN MEDICAL GROUP,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA MAROULIS (ADMINISTRATOR)
(773) 540-0642
Entity
Organization
Contact information
Practice address
2110 W DIVISION ST, CHICAGO, IL 60622-7272
(773) 235-7455
(773) 235-7055
Mailing address
2110 W DIVISION ST, CHICAGO, IL 60622-7272
(773) 235-7455
(773) 235-7055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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