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
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 ServiceHealth Service

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