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NPI 1013178847 · Adult Medicine Physician · Lynwood, IL
Provider details
- NPI number
- 1013178847
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- M Hearon, President(630) 788-4527
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2241 207th Pl
Lynwood, IL 60411-1538
Phone: (630) 788-4527
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1013
Matteson, IL 60443-4013
Registry dates
- Enumerated
- 2008-06-24
- Last updated
- 2008-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.