AVICENNA PRIMARY CARE LLC

NPI # 

Practice Address:

1S450 Summit Ave Ste 390

Oakbrook Terrace, IL, 60181-3976

Practice Phone:

630-229-4633

License Number:

036.129037

License State:

IL

Taxonomy Grouping:

Allopathic & Osteopathic Physicians

Taxonomy Classification:

Internal Medicine

Taxonomy Code:

207R00000X