# JEFF FOREMAN, M.D., LLC

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

## Provider details

- **NPI number:** 1699050237
- **Authorized official:** DR. JEFFERY J FOREMAN M.D. (OWNER)
- **Authorized official phone:** (847) 528-4289

## Contact information

- **Practice address:** 707 LAKE COOK RD, SUITE 122, DEERFIELD, IL 60015-5613
- **Practice address phone:** (847) 528-4289
- **Mailing address:** 707 LAKE COOK RD, SUITE 122, DEERFIELD, IL 60015-5613
- **Mailing address phone:** (847) 528-4289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036-071271 | IL | Yes |

## Other

- **Enumeration date:** 10/14/2011
- **Last updated:** 10/14/2011