Organization
NOVA PHYSICIAN GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRENCE MORTON JR. (SR. MEDICAL DIRECTOR)
(312) 733-9730
Entity
Organization
Contact information
Practice address
800 W 4TH ST STE 501, WILMINGTON, DE 19801-2054
(302) 295-4730
(302) 487-1689
Mailing address
30 W MONROE ST STE 1200, CHICAGO, IL 60603-2420
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/30/2024
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