Independent Medical Group SC
Independent Medical Group SC is a Family Medicine Physician in New Lenox, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
100 Batson Ct Ste 204New Lenox, IL 60451-1571
Phone: (815) 462-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1598319659 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rajasekhar Kolla — Owner · (773) 386-4797 |
| NPI enumerated | July 27, 2019 |
| Last updated in NPPES | September 3, 2019 |
| Mailing address | 11039 Venezia Dr, Frankfort, IL 60423-9044 |
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