Organization
ADVANCED MEDICAL AND REHABILITATION LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA GUREVICH M.D. (MEDICAL DIRECTOR)
(847) 897-5995
Entity
Organization
Contact information
Practice address
150 W HALF DAY RD, BUFFALO GROVE, IL 60089-6591
(847) 897-5995
(847) 897-5990
Mailing address
150 W HALF DAY RD, SUITE 101, BUFFALO GROVE, IL 60089-6591
(847) 821-1070
(847) 821-1126
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036104844
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104844
—
IL
01
—
DD7475
RR MC
IL
01
—
DE1545
RR MC
IL
01
—
P00080504
RR MC
IL
Enumeration date
11/15/2006
Last updated
04/07/2022
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