Organization
MEDPRO VISITING PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARNEL VILLAROMAN MALUNGCOT (ADMINISTRATOR)
(773) 727-2751
Entity
Organization
Contact information
Practice address
7518 TRIPP AVE, SKOKIE, IL 60076-3812
(773) 727-2751
(630) 226-5390
Mailing address
1571 WOODLAND LN, BOLINGBROOK, IL 60490-3273
(773) 727-2751
(630) 226-5390
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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