| Travel Medicine Source Ltd | |
|
9201 Waukegan Rd Morton Grove IL 60053-2102 | |
| (847) 663-1566 | |
| (847) 663-1568 |
| Full Name | Travel Medicine Source Ltd |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 9201 Waukegan Rd, Morton Grove, Illinois |
| Authorized Official Name and Position | Mary Catherine Macgregor (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8476631566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Travel Medicine Source Ltd 9201 Waukegan Rd Morton Grove IL 60053-2102 Ph: (847) 663-1566 | Travel Medicine Source Ltd 9201 Waukegan Rd Morton Grove IL 60053-2102 Ph: (847) 663-1566 |
| NPI Number | 1962571737 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 03/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962571737 | NPI | - | NPPES |
| 036063587 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (NU) | Primary |
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