# ACADEMIC MEDICINE SERVICE SC

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

## Provider details

- **NPI number:** 1437497088
- **Authorized official:** MELVIN SPEISMAN MD (OWNER)
- **Authorized official phone:** (630) 255-6859

## Contact information

- **Practice address:** 3 ERIE CT, OAK PARK, IL 60302-2519
- **Practice address phone:** (630) 255-6859
- **Mailing address:** PO BOX 64568, PHOENIX, AZ 85082-4568
- **Mailing address phone:** (302) 886-2006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2013
- **Last updated:** 08/20/2019
