Gathering Valley Center | |
8019 Lincoln Ave Skokie IL 60077-3611 | |
(847) 568-0849 | |
(847) 410-2123 |
Full Name | Gathering Valley Center |
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Speciality | Clinic/center |
Location | 8019 Lincoln Ave, Skokie, Illinois |
Authorized Official Name and Position | Georgiy Lifshits (PRESIDENT) |
Authorized Official Contact | 8475680849 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gathering Valley Center 8019 Lincoln Ave Skokie IL 60077-3611 Ph: (847) 568-0849 | Gathering Valley Center 8019 Lincoln Ave Skokie IL 60077-3611 Ph: (847) 568-0849 |
NPI Number | 1982745519 |
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Provider Enumeration Date | 02/08/2007 |
Last Update Date | 06/26/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982745519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 198-000104 (Illinois) | Primary |
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Associated Internal Medicine Physicians S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9700 Kenton Ave, Suite 302, Skokie, IL 60076 Phone: 847-433-3737 Fax: 847-674-2096 | |
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