Organization
SOUTHWEST PHYSICIANS GROUP-HMO SITE
Active
Organization
SOUTHWEST PHYSICIANS GROUP-HMO SITE
Active
Parent organization
SOUTHWEST PHYSICIANS GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST PHYSICIANS GROUP
Authorized official
VICKI GAW (OFFICE MANAGER)
(708) 425-4488
Entity
Organization
Contact information
Practice address
4861 W 95TH ST, OAK LAWN, IL 60453-2521
(708) 425-4488
Mailing address
4861 W 95TH ST, OAK LAWN, IL 60453-2521
(708) 425-4488
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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