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Organization
MEDICAL CARE SPECIALISTS LTD
Active
Organization
MEDICAL CARE SPECIALISTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN WOLF M.D. (PRESIDENT)
(847) 677-8577
Entity
Organization
Contact information
Practice address
9700 KENTON AVE, SUITE K405, SKOKIE, IL 60076-1259
(847) 677-8577
(847) 677-8574
Mailing address
9700 KENTON AVE, SUITE K405, SKOKIE, IL 60076-1259
(847) 677-8577
(847) 677-8574
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001627455
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
07/22/2006
Last updated
08/22/2020
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