Organization
OAK WEST PRIMARY PHYSICIAN ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL M. YUNEZ JR. M.D. (PRESIDENT)
(708) 450-0055
Entity
Organization
Contact information
Practice address
4415 HARRISON ST, SUITE 300, HILLSIDE, IL 60162-1910
(708) 432-4047
(708) 432-0158
Mailing address
4415 HARRISON ST, SUITE 300, HILLSIDE, IL 60162-1910
(708) 432-4047
(708) 432-0158
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
08/04/2008
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