Organization
MEDICAL DIRECTOR ON DEMAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA ANNE DUFFY RN,MA (DIRECTOR, OFFICER)
(312) 965-0499
Entity
Organization
Contact information
Practice address
47 W. POLK STREET, SUITE 301, CHICAGO, IL 60605
(312) 427-0774
(312) 427-0775
Mailing address
47 W. POLK STREET, SUITE 301, CHICAGO, IL 60605
(312) 427-0774
(312) 427-0775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-169074
IL
207Q00000X
Family Medicine Physician
036.115000
IL
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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