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Organization
HEALTHGUARD MEDICAL NETWORK SC
Active
Organization
HEALTHGUARD MEDICAL NETWORK SC
Active
Other names
Healthguard Pediatric And Adult Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAMERON SAFARLOO (CEO)
(630) 907-6009
Entity
Organization
Contact information
Practice address
40W222 LA FOX ROAD, SUITE K, SAINT CHARLES, IL 60175-7625
(630) 443-7000
(630) 443-7590
Mailing address
1205 OAK STREET, NORTH AURORA, IL 60542-2006
(630) 907-6009
(630) 907-1890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
IL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
IL
Other
Enumeration date
09/27/2006
Last updated
08/28/2007
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