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Organization
THE CENTER FOR INTERNAL MEDICINE AND PREVENTIVE CARE S C
Active
Organization
THE CENTER FOR INTERNAL MEDICINE AND PREVENTIVE CARE S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL TACK (PRESIDENT)
(847) 814-2728
Entity
Organization
Contact information
Practice address
501 N RIVERSIDE DR, SUITE 216, GURNEE, IL 60031-5918
(847) 625-8300
(847) 625-8862
Mailing address
501 N RIVERSIDE DR STE 216, GURNEE, IL 60031-5918
(847) 625-8300
(847) 625-8862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036097015
IL
Other
Enumeration date
10/02/2007
Last updated
12/21/2024
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