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Organization
PREMIER INTERNAL MEDICINE GROUP SC
Active
Organization
PREMIER INTERNAL MEDICINE GROUP SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHIR ROHAIL M.D. (PRESIDENT)
(708) 447-4267
Entity
Organization
Contact information
Practice address
2910 HARLEM AVE, RIVERSIDE, IL 60546-1785
(708) 447-4267
(708) 447-2104
Mailing address
2910 S HARLEM AVE, RIVERSIDE, IL 60546-1785
(708) 447-4267
(708) 447-2104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036087235
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087235
—
IL
Enumeration date
07/30/2006
Last updated
07/20/2010
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