Provider Demographics
NPI:1790121226
Name:US PHYSICIANS INC
Entity Type:Organization
Organization Name:US PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOGHNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-983-6204
Mailing Address - Street 1:5800 S PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-3021
Mailing Address - Country:US
Mailing Address - Phone:773-983-6204
Mailing Address - Fax:
Practice Address - Street 1:5800 S PARK AVE
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-3021
Practice Address - Country:US
Practice Address - Phone:773-983-6204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty