| Bluestone Capital Group Inc | |
|
350 S Northwest Hwy Suite 300 Park Ridge IL 60068-4216 | |
| (847) 696-9115 | |
| Not Available |
| Full Name | Bluestone Capital Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 350 S Northwest Hwy, Park Ridge, Illinois |
| Authorized Official Name and Position | Otabek Fayziyev (OWNER / PRESIDENT) |
| Authorized Official Contact | 8476969115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluestone Capital Group Inc 350 S Northwest Hwy Suite 300 Park Ridge IL 60068-4216 Ph: (847) 696-9115 | Bluestone Capital Group Inc 350 S Northwest Hwy Suite 300 Park Ridge IL 60068-4216 Ph: (847) 696-9115 |
| NPI Number | 1447577242 |
|---|---|
| Provider Enumeration Date | 05/03/2010 |
| Last Update Date | 05/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447577242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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