BLACKBAG HOME PHYSICIAN SERVICE LLC

NPI # 

Practice Address:

437 Navajo St

Park Forest, IL, 60466-2520

Practice Phone:

815-406-5011

Practice Fax:

888-311-8610

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Health Service

Taxonomy Code:

261QH0100X