# ALLIANCE MEDICAL GROUP,S.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144270075
- **Authorized official:** DELLA MATHEW MD (PRESIDENT)
- **Authorized official phone:** (847) 955-1144

## Contact information

- **Practice address:** 150 W HALF DAY RD, SUITE 103, BUFFALO GROVE, IL 60089-6591
- **Practice address phone:** (847) 955-1144
- **Practice address fax:** (847) 955-1166
- **Mailing address:** 150 W HALF DAY RD, SUITE 103, BUFFALO GROVE, IL 60089-6591
- **Mailing address phone:** (847) 955-1144
- **Mailing address fax:** (847) 955-1166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036-109903 | IL | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 02/16/2011