Organization
MEDLOGIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL C TYDELL MD (OWNER)
(847) 946-8871
Entity
Organization
Contact information
Practice address
114 WEST ROCKLAND ROAD, SUITE 201, LIBERTYVILLE, IL 60048
(847) 881-6858
(847) 906-8597
Mailing address
5 TIMBERLINE LANE, RIVERWOODS, IL 60015
(847) 946-8871
(847) 906-8597
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036139402
IL
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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