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Organization
ALLIANCE MEDICAL GROUP,S.C
Active
Organization
ALLIANCE MEDICAL GROUP,S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELLA MATHEW MD (PRESIDENT)
(847) 955-1144
Entity
Organization
Contact information
Practice address
150 W HALF DAY RD, SUITE 103, BUFFALO GROVE, IL 60089-6591
(847) 955-1144
(847) 955-1166
Mailing address
150 W HALF DAY RD, SUITE 103, BUFFALO GROVE, IL 60089-6591
(847) 955-1144
(847) 955-1166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-109903
IL
Other
Enumeration date
05/11/2006
Last updated
02/16/2011
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