| Harold B. Eulien | |
|
2800 N Sheridan Rd Suite 309 Chicago IL 60657-6156 | |
| (773) 248-6913 | |
| (773) 248-8464 |
| Full Name | Harold B. Eulien |
|---|---|
| Speciality | Internal Medicine |
| Location | 2800 N Sheridan Rd, Chicago, Illinois |
| Authorized Official Name and Position | Daniel Mccormick (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 7085836817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harold B. Eulien Po Box 564437 Chicago IL 60656-4437 Ph: (773) 525-4740 | Harold B. Eulien 2800 N Sheridan Rd Suite 309 Chicago IL 60657-6156 Ph: (773) 248-6913 |
| NPI Number | 1972882298 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972882298 | NPI | - | NPPES |
| 036060963 | Medicaid | IL | |
| 745367 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036060963 (Illinois) | Primary |
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