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Organization
ACADEMIC MEDICINE SERVICE SC
Active
Organization
ACADEMIC MEDICINE SERVICE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN SPEISMAN MD (OWNER)
(630) 255-6859
Entity
Organization
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(630) 255-6859
Mailing address
PO BOX 64568, PHOENIX, AZ 85082-4568
(302) 886-2006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/16/2013
Last updated
08/20/2019
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