Organization
GERIATRIC CARE SPECIALISTS,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME VINCENT DONNELLY DO (PHYSICIAN)
(630) 440-4281
Entity
Organization
Contact information
Practice address
512 HILLGROVE AVE, WESTERN SPRINGS, IL 60558-1442
(630) 440-4281
Mailing address
PO BOX 900, LA GRANGE, IL 60525-0900
(630) 440-4281
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
036075925
IL
Other
Enumeration date
04/03/2007
Last updated
06/19/2008
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