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Organization
NORTHWEST RHEUMATOLOGY SPECIALIST II LLC
Active
Organization
NORTHWEST RHEUMATOLOGY SPECIALIST II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA HOLDEN (LAB BILLING MANAGER)
(404) 943-0205
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 4003, ELK GROVE VILLAGE, IL 60007-3361
(847) 364-0800
(847) 364-0858
Mailing address
5909 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30328-8102
(404) 943-0205
(404) 943-0209
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
NULL
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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