VILLAGE MEDICAL AT HOME WEST CENTRAL FLORIDA PLLC

CHICAGO, IL
NPI1528677374
Entity TypeOrganization
Authorized ContactKRISTI I LEE
Director
706-513-4897
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207R00000X Internal Medicine
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2020-07-28
Last Update Date2020-12-04
Business Address
VILLAGE MEDICAL AT HOME WEST CENTRAL FLORIDA PLLC
125 S CLARK ST STE 900
CHICAGO, IL 60603-4043
Phone number: 346-980-2701
Mailing Address
VILLAGE MEDICAL AT HOME WEST CENTRAL FLORIDA PLLC
125 S CLARK ST STE 900
CHICAGO, IL 60603-4043
Phone number: 346-980-2701