# NORTHWEST RHEUMATOLOGY SPECIALIST II LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427307339
- **Authorized official:** MS. ALICIA HOLDEN (LAB BILLING MANAGER)
- **Authorized official phone:** (404) 943-0205

## Contact information

- **Practice address:** 800 BIESTERFIELD RD, SUITE 4003, ELK GROVE VILLAGE, IL 60007-3361
- **Practice address phone:** (847) 364-0800
- **Practice address fax:** (847) 364-0858
- **Mailing address:** 5909 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30328-8102
- **Mailing address phone:** (404) 943-0205
- **Mailing address fax:** (404) 943-0209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2012
- **Last updated:** 09/06/2012