Registry details
Type
Organization
Primary specialty
Internal Medicine, Sports Medicine
Enumerated
Jan 15, 2008
License(s)
036096721 (IL), 036096721 (IL), 036096721 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 767 PARK AVE W STE 130 | Highland Park, IL 60035-2400 | 847-433-1501 |
| MAILING | 1729 N 77TH CT | Elmwood Park, IL 60707-4111 | 708-502-3433 |
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