# LOCKPORT EXPRESS MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lockport Express Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790053643
- **Authorized official:** DR. NAGUI Y HANNA M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (630) 960-1658

## Contact information

- **Practice address:** 16221 W. 159TH STREET, LOCKPORT, IL 60441-7959
- **Practice address phone:** (815) 588-1111
- **Practice address fax:** (815) 838-4305
- **Mailing address:** 16221 W. 159TH STREET, LOCKPORT, IL 60441-7959
- **Mailing address phone:** (815) 588-1111
- **Mailing address fax:** (815) 838-4305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/07/2011
- **Last updated:** 06/04/2013