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Contact Information

VERNON HILLS PHYSICAL MEDICINE, SERVICE CORPORATION
355 EAST ROUTE 83
MUNDELEIN, IL60060
 Phone: 847-566-8777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for VERNON HILLS PHYSICAL MEDICINE SERVICE CORPORATION · (Female)

NPI Number 1316221294
Status Active
Credentials
Entity Individual
Enumeration date 10/10/2011
Last updated 12/05/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036093706
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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