# ELK GROVE MEDICAL ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1770757304
- **Authorized official:** DR. BARRY MICHAEL GLICK DO (PRESIDENT)
- **Authorized official phone:** (312) 505-1845

## Contact information

- **Practice address:** 800 BIESTERFIELD RD STE 625, ELK GROVE VILLAGE, IL 60007-3362
- **Practice address phone:** (847) 981-6061
- **Practice address fax:** (872) 241-0118
- **Mailing address:** 800 BIESTERFIELD RD STE 625, ELK GROVE VILLAGE, IL 60007-3362
- **Mailing address phone:** (847) 981-6061
- **Mailing address fax:** (872) 241-0118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 03/22/2024