Organization
NORTHWEST MORTON GROVE SC
Active
Other names
AFC Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANAND THAKKAR MD (OWNER)
(224) 233-0299
Entity
Organization
Contact information
Practice address
6841 DEMPSTER ST, MORTON GROVE, IL 60053-2628
(224) 233-0299
(224) 233-0288
Mailing address
PO BOX 10417, HOLYOKE, MA 01041-2017
(224) 530-1020
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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