Organization
PHYSICIANS COMMUNITY MEDICAL CENTER NORTH, S.C.
Active
Organization
PHYSICIANS COMMUNITY MEDICAL CENTER NORTH, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERISE ELMORE (MEDICAL BILLING MANGER)
(708) 798-8112
Entity
Organization
Contact information
Practice address
5320 159TH ST # 2N, OAK FOREST, IL 60452-4705
(708) 798-8112
(708) 535-6396
Mailing address
5320 159TH ST STE 400, OAK FOREST, IL 60452-3334
(708) 798-8112
(708) 535-6396
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/23/2011
Last updated
09/18/2012
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