Organization
ILLINOIS NURSING HOME& HOSPITAL PHYSICIAN SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LOVITT (MANAGER)
(630) 527-6390
Entity
Organization
Contact information
Practice address
640 S WASHINGTON ST, STE 380, NAPERVILLE, IL 60540-6603
(630) 527-6390
(630) 527-6392
Mailing address
640 S WASHINGTON ST, STE 380, NAPERVILLE, IL 60540-6603
(630) 527-6390
(630) 527-6392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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