NOVA PHYSICIAN GROUP PLLC

FORT WAYNE, IN
NPI1528815396
Entity TypeOrganization
Authorized ContactTERRENCE MORTON
Sr. Medical Director
773-733-9730
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2024-05-01
Last Update Date2024-05-01
Business Address
NOVA PHYSICIAN GROUP PLLC
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802-3210
Phone number: 260-298-6240
Mailing Address
NOVA PHYSICIAN GROUP PLLC
30 W MONROE ST STE 1200
CHICAGO, IL 60603-2420
Phone number: 773-352-1515
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