INDEPENDENT MEDICAL GROUP SC

NEW LENOX, IL
NPI1598319659
Entity TypeOrganization
Authorized ContactRAJASEKHAR KOLLA
Owner
773-386-4797
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2019-07-27
Last Update Date2019-09-03
Business Address
INDEPENDENT MEDICAL GROUP SC
100 BATSON CT STE 204
NEW LENOX, IL 60451-1571
Phone number: 815-462-1200
Mailing Address
INDEPENDENT MEDICAL GROUP SC
11039 VENEZIA DR
FRANKFORT, IL 60423-9044
Phone number: 773-386-4797
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