Organization
EMERGENCY MEDICINE PHYSICIANS OF KANKAKEE COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C PACKO (PRESIDENT)
(330) 493-4443
Entity
Organization
Contact information
Practice address
500 W COURT ST, KANKAKEE, IL 60901-3661
(815) 937-2400
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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