Organization
VIP 2U, LTD.
Active
Other names
ALC Primary Care at Home
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZAMORA (MANAGER BILLING CODING CREDENTIALIN)
(312) 728-4728
Entity
Organization
Contact information
Practice address
3500 LENOX RD NE STE 1500, ATLANTA, GA 30326-4231
(312) 728-4728
Mailing address
360 W BUTTERFIELD RD STE 325, ELMHURST, IL 60126-5088
(312) 728-4728
(312) 728-4729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
02/21/2024
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