Organization
OAK BROOK MEDICAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY WOLF BS (BILLING MANAGER)
(239) 970-2484
Entity
Organization
Contact information
Practice address
2603 W 22ND ST STE 22, OAK BROOK, IL 60523-4637
(630) 317-7478
(630) 317-7504
Mailing address
2603 W 22ND ST STE 22, OAK BROOK, IL 60523-4637
(630) 317-7478
(630) 317-7504
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
11/30/2020
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