Organization
EXPRESS HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDR GOLDVEKHT (OWNER)
(312) 243-4840
Entity
Organization
Contact information
Practice address
1502 W CHICAGO AVE, CHICAGO, IL 60642-5236
(312) 243-4840
Mailing address
1502 W CHICAGO AVE, CHICAGO, IL 60642-5236
(312) 243-4840
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036110569
IL
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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