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1376270843
PREMIER SUBURBAN MEDICAL GROUP, PLLC
ORLAND PARK, IL
NPI
1376270843
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Entity Type
Organization
Authorized Contact
AMY OWENS
Director, Finance
815-300-7764
Organization Subpart ?
No
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2022-08-04
Last Update Date
2024-05-31
Business Address
PREMIER SUBURBAN MEDICAL GROUP, PLLC
17047 LA GRANGE RD.
ORLAND PARK, IL 60487-1913
Phone number: 815-300-7764
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Mailing Address
PREMIER SUBURBAN MEDICAL GROUP, PLLC
1900 SILVER CROSS BLVD
NEW LENOX, IL 60451-9509
Phone number:
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