The Medical & Surgical Center of Illinois
NPI #1639343049 in Long Grove, Illinois
Provider Information
- NPI Number
- 1639343049
- Entity Type
- Organization
- Organization Name
- The Medical & Surgical Center of Illinois
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Apr 16, 2008
- Last Updated
- Apr 16, 2008
Practice Location
- Address
- 3818 NOTTINGHAM DR
- City
- Long Grove
- State
- Illinois
- ZIP Code
- 60047-5240
- Phone
- (847) 808-3338
Authorized Official
- Name
- DR. PAUL POTACH
- Title
- PRESIDENT
- Phone
- (847) 808-3338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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