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901 Center St Suite 1001 Elgin IL 60120-2104 | |
| (847) 429-1157 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 901 Center St, Elgin, Illinois |
| Authorized Official Name and Position | Sreemdevi Ramakrishnan (CEO) |
| Authorized Official Contact | 8159805520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1111 N Plaza Dr Suite # 310 Schaumburg IL 60173-6021 Ph: (815) 980-5520 | 901 Center St Suite 1001 Elgin IL 60120-2104 Ph: (847) 429-1157 |
| NPI Number | 1588057277 |
|---|---|
| Provider Enumeration Date | 03/05/2015 |
| Last Update Date | 03/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588057277 | NPI | - | NPPES |
| 036119461 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0369119461 (Illinois) | Primary |
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