Organization
S. O. GROUP, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R. WITT MD (PRESIDENT)
(312) 942-2302
Entity
Organization
Contact information
Practice address
1725 W. HARRISON STREET, SUITE 409, CHICAGO, IL 60612
(312) 942-2302
(312) 563-2228
Mailing address
1725 W. HARRISON STREET, SUITE 409, CHICAGO, IL 60612
(312) 942-2302
(312) 563-2228
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042.006019
IL
2086X0206X
Surgical Oncology Physician
042.006019
IL
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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