| Organization Name: | MEDICAL ACCESS GROUP INC |
| NPI Number: | 1003177320 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VELMA SMITH (MANAGER) |
| Mailing Address: | 10001 W Roosevelt Rd Suite 224 Westchester |
| State: | IL US |
| Postal Code: | 601542664 |
| Phone Number: | 7083564300 |
| Fax Number: | 7083564301 |
| NPI Enumeration Date: | 06/04/2012 |
| NPI Last Update Date: | 06/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |