Organization
360 MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VILLAR (ADMINISTRATOR)
(773) 645-1192
Entity
Organization
Contact information
Practice address
6425 N HAMLIN AVE STE F, LINCOLNWOOD, IL 60712-4012
(551) 372-9260
Mailing address
980 N MICHIGAN AVE STE 1090, CHICAGO, IL 60611-4521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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