Associated Internal Medicine Physicians S C | |
9700 Kenton Ave Suite 302 Skokie IL 60076-1259 | |
(847) 433-3737 | |
(847) 674-2096 |
Full Name | Associated Internal Medicine Physicians S C |
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Speciality | Internal Medicine |
Location | 9700 Kenton Ave, Skokie, Illinois |
Authorized Official Name and Position | Mark H. Levy (PRESIDENT/PHYSICIAN) |
Authorized Official Contact | 8474333737 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Associated Internal Medicine Physicians S C 95 Sequoia Ln Deerfield IL 60015-4426 Ph: (847) 433-3737 | Associated Internal Medicine Physicians S C 9700 Kenton Ave Suite 302 Skokie IL 60076-1259 Ph: (847) 433-3737 |
NPI Number | 1033212246 |
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Provider Enumeration Date | 09/06/2006 |
Last Update Date | 04/05/2011 |
Medicare PECOS PAC ID | 0345423299 |
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Medicare Enrollment ID | O20110330000550 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033212246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036086345 (Illinois) | Primary |
Provider Name | Mark H Levy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255433728 PECOS PAC ID: 4183809981 Enrollment ID: I20110420000597 |
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