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5301 Dempster St Ste 205 Skokie IL 60077-1846 | |
| (847) 470-9911 | |
| (847) 470-9966 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 5301 Dempster St, Skokie, Illinois |
| Authorized Official Name and Position | Dmitrey George Stebley (PRESIDENT) |
| Authorized Official Contact | 8474719911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5301 Dempster St Ste 205 Skokie IL 60077-1846 Ph: (847) 470-9911 | 5301 Dempster St Ste 205 Skokie IL 60077-1846 Ph: (847) 470-9911 |
| NPI Number | 1427244029 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 04/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427244029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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