Organization
SHAPE UP MEDICAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LOMAX (DIRECTOR OF CLINIC OPERATIONS)
(331) 256-5444
Entity
Organization
Contact information
Practice address
1315 MACOM DR STE 207, NAPERVILLE, IL 60564-9361
(630) 820-0800
Mailing address
1315 MACOM DR STE 207, NAPERVILLE, IL 60564-9361
(331) 256-5444
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
01/31/2018
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