AAGAARD 5 LLC

NPI 1285900753 Active Family Medicine

Quick Facts

NPI Number

1285900753

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2012-03-28

Last Updated (NPPES)

2015-07-01

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`
License	036058975 IL

Practice Address

2001 N GARY AVE
SUITE 210
WHEATON, IL 601873055

Phone: 630-614-4255

Fax: 630-614-4059

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