Organization
PHYSICIANS COMMUNITY MEDICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA LONG (BUSINESS MANAGER)
(708) 798-8112
Entity
Organization
Contact information
Practice address
5320 W 159TH ST, SUITE 400, OAK FOREST, IL 60452-3334
(708) 798-8112
Mailing address
5320 W 159TH ST, SUITE 400, OAK FOREST, IL 60452-3334
(708) 798-8112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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