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Organization
PHOENIX HEALTH CARE LLC
Active
Organization
PHOENIX HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHA VARMA M.D. (PRESIDENT)
(312) 622-0376
Entity
Organization
Contact information
Practice address
3315 ALGONQUIN RD, SUITE 100, ROLLING MEADOWS, IL 60008-3257
(847) 788-0700
Mailing address
1833 ADMIRAL CT, GLENVIEW, IL 60026-8055
(312) 622-0376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036114011
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114011
—
IL
Enumeration date
06/16/2011
Last updated
08/01/2011
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