Organization
MINIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON KNOX (MANAGER)
(708) 424-0900
Entity
Organization
Contact information
Practice address
9939 SOUTHWEST HWY, OAK LAWN, IL 60453-3767
(708) 424-0900
Mailing address
9939 SOUTHWEST HWY, OAK LAWN, IL 60453-3767
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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