Organization
MIDWEST NP CARE SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH IYENGAR MD (PRESIDENT)
(847) 899-8253
Entity
Organization
Contact information
Practice address
11401 S OAKLEY AVE, CHICAGO, IL 60643-4196
(773) 233-6311
Mailing address
26068 NETWORK PL, CHICAGO, IL 60673-1260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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