Executive Health Group of Illinois, Sc

NPI #1033485818 in Chicago, Illinois

Provider Information

NPI Number: 1033485818
Entity Type: Organization
Organization Name: Executive Health Group of Illinois, Sc
Primary Specialty: Internal Medicine
Enumeration Date: Mar 27, 2012
Last Updated: Mar 27, 2012

Practice Location

Address: 181 W MADISON ST STE 4550
City: Chicago
State: Illinois
ZIP Code: 60602-4636
Phone: (312) 341-2586

Authorized Official

Name: MS. ROXANA ROPERTO
Title: DIRECTOR OF ACCOUNTING
Phone: (212) 332-3725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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