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Organization
WALLMAN MEDICAL ASSOCIATES, S.C.
Active
Organization
WALLMAN MEDICAL ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY AARON WALLMAN DO (PHYSICIAN)
(847) 901-5200
Entity
Organization
Contact information
Practice address
2501 COMPASS RD, SUITE 100, GLENVIEW, IL 60026-8000
(847) 901-5200
(847) 901-5225
Mailing address
2501 COMPASS RD, SUITE 100, GLENVIEW, IL 60026-8000
(847) 901-5200
(847) 901-5225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212473
SITE NUMBER
IL
Enumeration date
08/19/2006
Last updated
11/19/2007
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