Organization
SKOKIE VALLEY CT CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN M PFLAUMER (ACCOUNTS RECEIVABLE SUPERVISOR)
(847) 933-3586
Entity
Organization
Contact information
Practice address
9600 GROSS POINT RD, SUITE A, SKOKIE, IL 60076-1214
(847) 933-3856
(847) 677-9625
Mailing address
9600 GROSS POINT RD, SUITE A, SKOKIE, IL 60076-1214
(847) 933-3856
(847) 677-9625
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616209
BC/BS OF ILLINOIS
IL
Enumeration date
08/29/2005
Last updated
08/08/2008
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