Organization
YOUR DOC OF MELROSE PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE HOLOWICKI (CHIEF FINANCIAL OFFICER)
(847) 839-8800
Entity
Organization
Contact information
Practice address
1111 SUPERIOR ST, SUITE 306, MELROSE PARK, IL 60160-4138
(708) 450-0055
(708) 450-0288
Mailing address
PO BOX 95748, HOFFMAN ESTATES, IL 60195-0748
(847) 839-8800
(847) 839-8808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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