Premier Medical Care Addison, Ltd

NPI #1588972616 in Addison, Illinois

Provider Information

NPI Number: 1588972616
Entity Type: Organization
Organization Name: Premier Medical Care Addison, Ltd
Primary Specialty: General Practice
Enumeration Date: Sep 23, 2010
Last Updated: Sep 23, 2010

Practice Location

Address: 1415 W LAKE ST
City: Addison
State: Illinois
ZIP Code: 60101-1870
Phone: (630) 705-1630

Authorized Official

Name: ANATOLY GOROVITS, M.D.
Title: PRESIDENT
Phone: (630) 705-1630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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