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Organization
DIABETES AND INTERNAL MEDICINE OF ILLINOIS,INC
Active
Organization
DIABETES AND INTERNAL MEDICINE OF ILLINOIS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD LYLE EINHORN MD (PRESIDENT)
(708) 450-5745
Entity
Organization
Contact information
Practice address
675 W NORTH AVE, SUITE 311, MELROSE PARK, IL 60160-1634
(708) 450-5745
(708) 345-3927
Mailing address
675 W NORTH AVE, SUITE 311, MELROSE PARK, IL 60160-1634
(708) 450-5745
(708) 345-3927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036056302
IL
Other
Enumeration date
02/10/2009
Last updated
03/11/2009
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