Organization
INNOVATIVE PLATINUM CARE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHUL KHARE M.D. (PRESIDENT)
(773) 270-5600
Entity
Organization
Contact information
Practice address
2400 N ASHLAND AVE, SUITE 150, CHICAGO, IL 60614-2021
(773) 270-5600
(773) 360-7378
Mailing address
2400 N ASHLAND AVE, SUITE 150, CHICAGO, IL 60614-2021
(773) 270-5600
(773) 360-7378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36111153
IL
Other
Enumeration date
10/05/2015
Last updated
01/12/2016
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