| Skokie Medical Center Llc | |
|
8301 Skokie Blvd Skokie IL 60077-2546 | |
| (847) 674-4481 | |
| (847) 674-4491 |
| Full Name | Skokie Medical Center Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8301 Skokie Blvd, Skokie, Illinois |
| Authorized Official Name and Position | Mehdi Bassiratpour (OWNER/MANAGER) |
| Authorized Official Contact | 6306052646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skokie Medical Center Llc 3s138 Park Blvd Glen Ellyn IL 60137-7233 Ph: (630) 605-2646 | Skokie Medical Center Llc 8301 Skokie Blvd Skokie IL 60077-2546 Ph: (847) 674-4481 |
| NPI Number | 1548533870 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 03/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548533870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036106820 (Illinois) | Primary |
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