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Organization

NORTHWEST PRIMARY CARE PC

Active
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Organization

NORTHWEST PRIMARY CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEVANG N DHARIA M.D. (M.D.)
(847) 458-4500
Entity
Organization

Contact information

Practice address
2214 HUNTINGTON DR N, ALGONQUIN, IL 60102-4419
(847) 458-4500
(847) 458-4503
Mailing address
2214 HUNTINGTON DR N, ALGONQUIN, IL 60102-4419
(847) 458-4500
(847) 458-4503

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IL6276
PTAN
IL
01
IL6277
PTAN
IL
01
IL6278
PTAN
IL
Enumeration date
08/19/2010
Last updated
01/25/2012
About Stedi
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