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Organization

PHYSICIANS EDGE PHO

Active
Parent organization
MACNEAL HEALTH PROVIDERS, INC.
Other names
Physicians Edge PHO
Organization subpart
Yes

Provider details

NPI number
Legal business name
MACNEAL HEALTH PROVIDERS, INC.
Authorized official
MR. KIM A ARMSTRONG (DIRECTOR)
(708) 783-7153
Entity
Organization

Contact information

Practice address
750 PASQUINELLI DR, SUITE 204, WESTMONT, IL 60559-5567
(708) 783-7153
Mailing address
750 PASQUINELLI DR, SUITE 204, WESTMONT, IL 60559-5567
(708) 783-7153

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
05/20/2008
Last updated
05/20/2008
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