# ILLINOIS MEDICAL GROUP SC

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

## Provider details

- **NPI number:** 1649219007
- **Authorized official:** DR. SARMED G ELIAS M.D. (PRESIDENT)
- **Authorized official phone:** (773) 545-6900

## Contact information

- **Practice address:** 4211 N CICERO AVE, CHICAGO, IL 60641-1651
- **Practice address phone:** (773) 545-6900
- **Practice address fax:** (773) 685-2481
- **Mailing address:** 4211 N CICERO AVE, CHICAGO, IL 60641-1651
- **Mailing address phone:** (773) 545-6900
- **Mailing address fax:** (773) 685-2481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 042618822 | IL | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 06/12/2008