| Organization Name: | MEDCO PHYSICIANS UNLIMITED INC |
| NPI Number: | 1255543344 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUZANN ALLEN - YAMINI (PRESIDENT) |
| Mailing Address: | 16260 Louis Ave Suite 736 South Holland |
| State: | IL US |
| Postal Code: | 604735201 |
| Phone Number: | 7084328445 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 06/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |