Park Avenue Private Practice LLC
NPI #1851763213 in Highland Park, Illinois
Provider Information
- NPI Number
- 1851763213
- Entity Type
- Organization
- Organization Name
- Park Avenue Private Practice LLC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Oct 26, 2015
- Last Updated
- Feb 2, 2016
Practice Location
- Address
- 767 PARK AVE W STE 350
- City
- Highland Park
- State
- Illinois
- ZIP Code
- 60035-2472
- Phone
- (847) 433-5505
Authorized Official
- Name
- JEFFREY S GARLAND, M.D.
- Title
- PRESIDENT, MEDICAL DOCTOR
- Phone
- (847) 433-5505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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