Organization
TRAVEL MEDICINE SOURCE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY CATHERINE MACGREGOR DO (MEDICAL DIRECTOR)
(847) 663-1566
Entity
Organization
Contact information
Practice address
9201 WAUKEGAN RD, MORTON GROVE, IL 60053-2102
(847) 663-1566
(847) 663-1568
Mailing address
9201 WAUKEGAN RD, MORTON GROVE, IL 60053-2102
(847) 663-1566
(847) 663-1568
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063587
—
IL
Enumeration date
11/07/2006
Last updated
03/31/2015
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