Cmc Healthcare LLC

NPI #1295432334 in Evanston, Illinois

Provider Information

NPI Number: 1295432334
Entity Type: Organization
Organization Name: Cmc Healthcare LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Feb 9, 2023
Last Updated: Apr 26, 2024

Practice Location

Address: 2201 MAIN ST
City: Evanston
State: Illinois
ZIP Code: 60202-1519
Phone: (773) 831-5021

Authorized Official

Name: BENJAMIN GARDEN, MD
Title: PRESIDENT
Phone: (773) 451-6215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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