# MDG P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sportco Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841430808
- **Authorized official:** MRS. MELANIE WALKER (BILLING OFFICE MANAGER)
- **Authorized official phone:** (630) 820-9500

## Contact information

- **Practice address:** 83 TEMPLETON DR, UNIT C, OSWEGO, IL 60543-7019
- **Practice address phone:** (630) 554-9991
- **Practice address fax:** (630) 554-9992
- **Mailing address:** 762 SHORELINE DR, SUITE 200, AURORA, IL 60504-6108
- **Mailing address phone:** (630) 820-9500
- **Mailing address fax:** (630) 820-9504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 038008664 | IL | Yes |

## Other

- **Enumeration date:** 03/03/2009
- **Last updated:** 04/23/2009