# APOLLO MEDICAL GROUP OF ILLINOIS LLC

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

## Provider details

- **NPI number:** 1730934597
- **Authorized official:** AYMAN ELFAR MD (MANAGING PARTNER)
- **Authorized official phone:** (941) 725-1198

## Contact information

- **Practice address:** 3034 W PETERSON AVE, CHICAGO, IL 60659-3729
- **Practice address phone:** (773) 497-1961
- **Mailing address:** PO BOX 4324, SPRINGFIELD, IL 62708-4324
- **Mailing address phone:** (941) 725-1198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 04/23/2024
- **Last updated:** 04/25/2024