Organization
PRINCE GEORGE INTERNAL MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY AWADALLAH MD (OWNER)
(847) 323-0099
Entity
Organization
Contact information
Practice address
100 N RIVER RD, DES PLAINES, IL 60016-1209
(847) 297-1800
Mailing address
1822 SOMERSET LN, NORTHBROOK, IL 60062-6066
(847) 323-0099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
IL
208M00000X
Hospitalist Physician
Primary
—
IL
Other
Enumeration date
03/17/2011
Last updated
05/04/2011
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