# SELAH MEDICAL GROUP S.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972926145
- **Authorized official:** DR. VICTOR OLAWALE MENSAH M.D (MEDICAL DIRECTOR/CEO)
- **Authorized official phone:** (630) 945-7797

## Contact information

- **Practice address:** 927 N PLUM GROVE RD, SCHAUMBURG, IL 60173-5171
- **Practice address phone:** (630) 945-7797
- **Mailing address:** 4160 WILLIAMS CT, HOFFMAN ESTATES, IL 60192-1407
- **Mailing address phone:** (630) 945-7797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 036-116775 | IL | Yes |

## Other

- **Enumeration date:** 01/23/2014
- **Last updated:** 02/13/2014