Mea Elk Grove LLC

NPI #1578556841 in Elk Grove, Illinois

Provider Information

NPI Number: 1578556841
Entity Type: Organization
Organization Name: Mea Elk Grove LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Aug 23, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 800 BIESTERFIELD RD
Address 2: ALEXIAN BROTHERS MEDICAL CENTER
City: Elk Grove
State: Illinois
ZIP Code: 60007
Phone: (847) 437-5500

Authorized Official

Name: DANIEL J SULLIVAN, MD
Title: PRESIDENT
Phone: (630) 734-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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