Organization
ILLINOIS HEALTHCARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGEI SMUS LMT (PRESIDENT CO)
(847) 465-8415
Entity
Organization
Contact information
Practice address
1546 BARCLAY BLVD, BUFFALO GROVE, IL 60089-4530
(847) 465-8415
(847) 465-8608
Mailing address
1546 BARCLAY BLVD, BUFFALO GROVE, IL 60089-4530
(847) 465-8415
(847) 465-8608
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635656
BCBS
IL
Enumeration date
03/03/2006
Last updated
04/30/2021
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