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Organization
FIRST DIAGNOSTIC CONSULTANTS PC
Active
Organization
FIRST DIAGNOSTIC CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY EFIM GLIKIN MD (PRESIDENT)
(847) 456-3018
Entity
Organization
Contact information
Practice address
810 PRAIRIE LN, BUFFALO GROVE, IL 60089-1561
(847) 456-3018
(847) 537-5544
Mailing address
810 PRAIRIE LN, BUFFALO GROVE, IL 60089-1561
(847) 456-3018
(847) 537-5544
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
238.000103
IL
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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