“Geriatric Medicine (family Medicine) Physician” (Blue Island, IL)
Location: Blue Island, IL
Taxonomy: Geriatric Medicine (family Medicine) Physician.
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1780205708
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COOK COUNTY
Practice Location Address:
12757 S. WESTERN AVE
BLUE ISLAND IL
60406
Practice Phone:
708-293-8400