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Organization

COUNTRYSIDE MEDICAL SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNNETTE MCROY (BILLING COORDINATOR)
(773) 767-3822
Entity
Organization

Contact information

Practice address
6555 S WILLOW SPRINGS RD, SUITES 1 & 2, COUNTRYSIDE, IL 60525
(708) 482-9700
(708) 482-0217
Mailing address
PO BOX 700, WHEATON, IL 60187-0700
(773) 767-3822
(773) 337-9106

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0
IL

Other

Enumeration date
10/11/2011
Last updated
07/21/2022
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