Organization
BRIKHA MEDICAL CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES S BRIKHA MD (PRESIDENT)
(847) 692-5206
Entity
Organization
Contact information
Practice address
8118 N MILWAUKEE AVE, SUITE # 105, NILES, IL 60714-2836
(847) 692-5206
(847) 692-5394
Mailing address
8118 N MILWAUKEE AVE, SUITE # 105, NILES, IL 60714-2836
(847) 692-5206
(847) 692-5394
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036097975
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031622648
BCBS
IL
05
—
036097975
—
IL
05
—
036107939
—
IL
01
—
1396845848
NPI
IL
01
—
1497707129
NPI
IL
Enumeration date
03/26/2007
Last updated
02/13/2012
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