Organization
BUN SIU L CO, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R CO M.D. (PRESIDENT/OWNER)
(815) 838-7965
Entity
Organization
Contact information
Practice address
300 READ ST, SUITE C, LOCKPORT, IL 60441-3265
(815) 838-7965
(815) 838-8011
Mailing address
300 READ ST, SUITE C, LOCKPORT, IL 60441-3265
(815) 838-7965
(815) 838-8011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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