Organization Name: | DOCTORS ON SITE INC |
NPI Number: | 1720410483 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSEANN GAGER (PRESIDENT) |
Mailing Address: | 618 Manomet Ct Schaumburg |
State: | IL US |
Postal Code: | 601734727 |
Phone Number: | 8478822030 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2013 |
NPI Last Update Date: | 08/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |