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Organization
INTERVENTION ARMS MEDICAL CENTER LLC
Active
Organization
INTERVENTION ARMS MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ANN CHARLES FIELDS (DIRECTOR)
(847) 785-0611
Entity
Organization
Contact information
Practice address
1809 SHERIDAN RD, NORTH CHICAGO, IL 60064-2235
(847) 785-0611
(847) 785-0617
Mailing address
1809 SHERIDAN RD, NORTH CHICAGO, IL 60064-2235
(847) 785-0611
(847) 785-0617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054557
—
IL
05
—
036065847
—
IL
05
—
036102939
—
IL
05
—
085001395
—
IL
05
—
085005371
—
IL
Enumeration date
02/06/2008
Last updated
08/27/2025
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