Organization
MDG P.C.
Active
Organization
MDG P.C.
Active
Other names
Sportco Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE WALKER (BILLING OFFICE MANAGER)
(630) 820-9500
Entity
Organization
Contact information
Practice address
83 TEMPLETON DR, UNIT C, OSWEGO, IL 60543-7019
(630) 554-9991
(630) 554-9992
Mailing address
762 SHORELINE DR, SUITE 200, AURORA, IL 60504-6108
(630) 820-9500
(630) 820-9504
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038008664
IL
Other
Enumeration date
03/03/2009
Last updated
04/23/2009
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