Organization
FAMILY PRACTICE SPECIALIST SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J FEROLO M.D. (PRESIDENT)
(847) 277-9700
Entity
Organization
Contact information
Practice address
22285 PEPPER ROAD, SUITE 211, LAKE BARRINGTON, IL 60010-0302
(847) 277-9700
(847) 277-9708
Mailing address
22285 PEPPER ROAD, SUITE 211, LAKE BARRINGTON, IL 60010-0302
(847) 277-9700
(847) 277-9708
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
12/14/2007
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