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Organization
PARK AVENUE ASSOCIATES IN INTERNAL MEDICINE, LTD
Active
Organization
PARK AVENUE ASSOCIATES IN INTERNAL MEDICINE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SCOTT GARLAND M.D. (PRESIDENT)
(847) 926-4445
Entity
Organization
Contact information
Practice address
767 PARK AVE W, SUITE 350, HIGHLAND PARK, IL 60035-2400
(847) 926-4445
(847) 681-0994
Mailing address
767 PARK AVE W, SUITE 350, HIGHLAND PARK, IL 60035-2400
(847) 926-4445
(847) 681-0994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036094471
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004932481
BLUE CROSS BLUE SHIELD ID
IL
Enumeration date
01/04/2007
Last updated
01/28/2015
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