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Organization
PRAIRIE MEDICAL PHYSICIANS GROUP SC
Active
Organization
PRAIRIE MEDICAL PHYSICIANS GROUP SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL E MCFARLANE M.D. (PRESIDENT)
(708) 430-8889
Entity
Organization
Contact information
Practice address
10330 S ROBERTS RD, SUITE 2, PALOS HILLS, IL 60465-1971
(708) 430-0008
(708) 430-2828
Mailing address
10330 S ROBERTS RD, SUITE 2ND, PALOS HILLS, IL 60465-1971
(708) 430-0008
(708) 430-2828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036094038
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110212081
RAILROAD MEDICARE
IL
01
—
21623289
BCBS PROVIDER
IL
Enumeration date
07/09/2006
Last updated
09/05/2024
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