| NPI | 1578973160 |
|---|---|
| Doing Business As | FAMILY MEDICAL CENTER OF BOLINGBROOK |
| Entity Type | Organization |
| Authorized Contact | RUBY MANN Director 630-856-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2017-06-14 |