is a Internal Medicine in Burr Ridge, Illinois. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for is 1699932707. The last update date is .
's current location address is 180 Harvester Dr Ste 110, Burr Ridge, Illinois. You can contact this provider via phone number 7737021150 and fax number 7377020308. The mailing address for is 180 Harvester Dr Ste 110, Burr Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 180 Harvester Dr Ste 110, Burr Ridge, Illinois |
Phone Number | 7737021150 |
Fax Number | 7377020308 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1699932707 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 180 Harvester Dr Ste 110 |
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City | Burr Ridge |
State | Illinois (IL) |
Post Code | 605274503 |
Phone Number | 7737021150 |
Fax Number | 7377020308 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 50191 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1902846306 | CA | GROUP NPI | |
W18762 | CA | GROUP MEDICARE | |
GR0100430 | CA | GROUP MEDI-CAL |
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