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 |
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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 |
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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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