| Medical Director On Demand Llc | |
|
47 W. Polk Street Suite 301 Chicago IL 60605 | |
| (312) 427-0774 | |
| (312) 427-0775 |
| Full Name | Medical Director On Demand Llc |
|---|---|
| Speciality | Registered Nurse |
| Location | 47 W. Polk Street, Chicago, Illinois |
| Authorized Official Name and Position | Barbara Anne Duffy (DIRECTOR, OFFICER) |
| Authorized Official Contact | 3129650499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Director On Demand Llc 47 W. Polk Street Suite 301 Chicago IL 60605 Ph: (312) 427-0774 | Medical Director On Demand Llc 47 W. Polk Street Suite 301 Chicago IL 60605 Ph: (312) 427-0774 |
| NPI Number | 1992298293 |
|---|---|
| Provider Enumeration Date | 06/11/2018 |
| Last Update Date | 06/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992298293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036.115000 (Illinois) | Secondary |
| 163W00000X | Registered Nurse | 041-169074 (Illinois) | Primary |
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