Organization
COMPREHENSIVE CARDIOVASCULAR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY FREEZE (PRACTICE ADMINISTRATOR)
(219) 926-8320
Entity
Organization
Contact information
Practice address
1790 NATIONS DR STE 111, GURNEE, IL 60031-9175
(224) 656-5867
(219) 926-3524
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
(219) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036101942
IL
Other
Enumeration date
05/10/2012
Last updated
11/09/2012
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