Organization
PRESTIGE MEDICAL GROUP LLC
Active
Organization
PRESTIGE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SKOBEL (CEO)
(708) 942-6843
Entity
Organization
Contact information
Practice address
8800 W 159TH ST, ORLAND PARK, IL 60462-5618
(708) 942-6843
Mailing address
300 N VINE ST UNIT 614, NEW LENOX, IL 60451-5032
(708) 942-6843
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
04/08/2021
Last updated
04/13/2021
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