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Organization

WL PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE YOUNG (BILLER/OFFICE MANAGER)
(847) 374-5316
Entity
Organization

Contact information

Practice address
2449 E 12 MILE RD, WARREN, MI 48092-5647
(586) 558-8435
Mailing address
2333 WAUKEGAN RD, SUITE 175, BANNOCKBURN, IL 60015-5508
(847) 267-0801

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
08/31/2006
Last updated
08/22/2020
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