# ILLINOIS MEDICAL CARE LTD

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

## Provider details

- **NPI number:** 1508980889
- **Authorized official:** DR. MAHER AL-KOUBAYTARI MD (PRESIDENT)
- **Authorized official phone:** (773) 931-8082

## Contact information

- **Practice address:** 5025 N PAULINA ST, CHICAGO, IL 60640-2772
- **Practice address phone:** (773) 931-8082
- **Practice address fax:** (888) 847-9526
- **Mailing address:** 1721 GREENDALE AVE, PARK RIDGE, IL 60068-1926
- **Mailing address phone:** (773) 931-8082
- **Mailing address fax:** (888) 847-9526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036094781 | IL | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 01/30/2018