Organization
LOCKPORT EXPRESS MEDICAL GROUP, INC.
Active
Other names
Lockport Express Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGUI Y HANNA M.D. (PHYSICIAN/OWNER)
(630) 960-1658
Entity
Organization
Contact information
Practice address
16221 W. 159TH STREET, LOCKPORT, IL 60441-7959
(815) 588-1111
(815) 838-4305
Mailing address
16221 W. 159TH STREET, LOCKPORT, IL 60441-7959
(815) 588-1111
(815) 838-4305
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2011
Last updated
06/04/2013
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