Organization
NGX ILLINOIS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SPEER (CHIEF FINANCIAL & HUMAN RESOURCES)
(720) 339-0188
Entity
Organization
Contact information
Practice address
456 NELSON RD, NEW LENOX, IL 60451-2946
(815) 527-6411
(815) 527-6411
Mailing address
456 NELSON RD, NEW LENOX, IL 60451-2946
(815) 527-6411
(815) 527-6411
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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