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Organization
COMPLETE CARE MEDICAL CENTER, S.C
Active
Organization
COMPLETE CARE MEDICAL CENTER, S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORAWAN SUKAVACHANA M.D. (PRESIDENT/CEO)
(847) 650-1452
Entity
Organization
Contact information
Practice address
373 SUMMIT ST STE 100, ELGIN, IL 60120
(847) 888-3631
(847) 888-3632
Mailing address
373 SUMMIT ST STE 102, ELGIN, IL 60012
(847) 888-3631
(847) 888-3632
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
036085859
IL
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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