Organization
GOTTLIEB EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (AO/OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 681-3200
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
(919) 518-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
01/12/2021
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