Organization
FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT S C
Active
Other names
family medicine specialists of mount prospect incorporated
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON BELLUCCI (CFO)
(847) 526-2151
Entity
Organization
Contact information
Practice address
930 MOUNT PROSPECT PLZ, MT PROSPECT, IL 60056-2652
(847) 797-1962
(847) 797-1972
Mailing address
PO BOX 6037, WAUCONDA, IL 60084-2452
(847) 526-2151
(847) 526-2017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036083207
IL
Other
Enumeration date
07/24/2009
Last updated
07/09/2015
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