Organization
ADVOCATE CHRIST FAMILY MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE BERNARD BUCHANAN M.D. (RESIDENT PHYSICIAN)
(708) 422-5700
Entity
Organization
Contact information
Practice address
4140 SOUTHWEST HWY, HOMETOWN, IL 60456-1135
(708) 422-5700
Mailing address
4140 SOUTHWEST HWY, HOMETOWN, IL 60456-1135
(708) 422-5700
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
125053019
IL
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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