Organization
PHYSICIANS COMMUNITY MEDICAL CENTER OAK FOREST, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERISE ELMORE (CREDENTIALING SPECIALIST)
(708) 798-8112
Entity
Organization
Contact information
Practice address
5320 159TH ST STE 203, OAK FOREST, IL 60452-3330
(708) 798-8112
(708) 535-6396
Mailing address
5320 159TH ST STE 400, OAK FOREST, IL 60452-3334
(708) 798-8112
(708) 535-6396
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/23/2011
Last updated
09/18/2012
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