Organization
ACTIVE WD OON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MORGAN (OFFICE MANAGER)
(239) 970-2484
Entity
Organization
Contact information
Practice address
758 S 8TH ST, WEST DUNDEE, IL 60118-2102
(847) 836-5202
Mailing address
758 S 8TH ST, WEST DUNDEE, IL 60118-2102
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
04/18/2023
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