Organization
ELMHURST MEMORIAL HEALTHCARE
Active
Parent organization
ELMHURST MEMORIAL HEALTHCARE
Other names
Elmurst Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELMHURST MEMORIAL HEALTHCARE
Authorized official
DONALD R LURYE MD (CEO)
(630) 834-1120
Entity
Organization
Contact information
Practice address
471 W ARMY TRAIL ROAD, BLOOMINGDALE, IL 60108-2673
(630) 671-8020
(630) 671-8021
Mailing address
172 SCHILLER ST, ELMHURST, IL 60126-2816
(630) 834-1120
(630) 993-5681
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2215149
BCBS OF IL
IL
Enumeration date
08/13/2007
Last updated
03/15/2010
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