Organization
COMMONWEALTH MEDICAL PHYSICIAN GROUP, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON AFABLE (PRACTICE ADMINISTRATOR)
(773) 472-5803
Entity
Organization
Contact information
Practice address
2800 N. SHERIDAN RD, #400, CHICAGO, IL 60657-6157
(773) 472-5803
(773) 472-7902
Mailing address
2800 N. SHERIDAN RD, #400, CHICAGO, IL 60657-6157
(773) 472-5803
(773) 472-7902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036061003
IL
Other
Enumeration date
12/13/2006
Last updated
09/14/2011
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