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Organization
VANGUARD ELDERCARE MEDICAL GROUP - ILLINOIS SC
Active
Organization
VANGUARD ELDERCARE MEDICAL GROUP - ILLINOIS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN L POSAR (PRESIDENT)
(574) 546-1900
Entity
Organization
Contact information
Practice address
12600 RENAISSANCE CIR, HOMER GLEN, IL 60491-5891
(574) 546-1900
(574) 546-1999
Mailing address
2100 N MAIN ST STE 301, ONE PROFESSIONAL CENTER, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
04/23/2021
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