| Physician on Wheels | |
|
501 Lincoln Ave Downers Grove IL 60515-3045 | |
| (773) 807-0555 | |
| Not Available |
| Full Name | Physician on Wheels |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 Lincoln Ave, Downers Grove, Illinois |
| Authorized Official Name and Position | John Acquaye-awah (SECRETARY) |
| Authorized Official Contact | 7738070555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician on Wheels Po Box 7151 Westchester IL 60154-7151 Ph: (773) 807-0555 | Physician on Wheels 501 Lincoln Ave Downers Grove IL 60515-3045 Ph: (773) 807-0555 |
| NPI Number | 1497024616 |
|---|---|
| Provider Enumeration Date | 12/16/2011 |
| Last Update Date | 12/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497024616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036102126 (Illinois) | Primary |
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