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Organization
GOLF MILL MEDICAL CENTER LTD
Active
Organization
GOLF MILL MEDICAL CENTER LTD
Active
Other names
Golf Mill Medical Center LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD E HERNAEZ MD (MD)
(847) 983-8695
Entity
Organization
Contact information
Practice address
7124 W TOUHY AVE, NILES, IL 60714-4526
(847) 983-8695
(847) 972-1926
Mailing address
7124 W TOUHY AVE, NILES, IL 60714-4526
(847) 983-8695
(847) 972-1926
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036093705
IL
208000000X
Pediatrics Physician
036083674
IL
Other
Enumeration date
09/15/2006
Last updated
02/22/2013
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