| Hosep H Deyrmenjian, Md, Pc | |
|
6440 Grand Ave Suite 205 Gurnee IL 60031-5257 | |
| (847) 855-3150 | |
| (847) 855-3143 |
| Full Name | Hosep H Deyrmenjian, Md, Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 6440 Grand Ave, Gurnee, Illinois |
| Authorized Official Name and Position | Hosep H Deyrmenjian (OWNER) |
| Authorized Official Contact | 8478553150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hosep H Deyrmenjian, Md, Pc 6440 Grand Ave Suite 205 Gurnee IL 60031-5257 Ph: (847) 855-3150 | Hosep H Deyrmenjian, Md, Pc 6440 Grand Ave Suite 205 Gurnee IL 60031-5257 Ph: (847) 855-3150 |
| NPI Number | 1043482250 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 03/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043482250 | NPI | - | NPPES |
| 36079535 | Medicaid | IL | |
| 4920692 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 36079535 (Illinois) | Primary |
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