GOTTLIEB/ WEST TOWNS PHO, INC.

MELROSE PARK, IL
NPI1447359856
Entity TypeOrganization
Authorized ContactERICA PORTER-WALTON
Controller
708-450-4943
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2006-09-22
Last Update Date2010-06-07
Business Address
GOTTLIEB/ WEST TOWNS PHO, INC.
675 W NORTH AVE LOWER LEVEL
MELROSE PARK, IL 60160-1634
Phone number: 708-450-4945
Mailing Address
GOTTLIEB/ WEST TOWNS PHO, INC.
675 W NORTH AVE LOWER LEVEL
MELROSE PARK, IL 60160-1634
Phone number: 708-450-4945