Organization
STREETERVILLE INTERNAL MEDICINE 2LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA HOLDEN (BILLING MANAGER)
(404) 943-0205
Entity
Organization
Contact information
Practice address
5909 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30328-5388
(404) 943-0205
(404) 943-0209
Mailing address
676 N SAINT CLAIR ST, SUITE 1740, CHICAGO, IL 60611-2927
(312) 926-0444
(312) 926-2797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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