Organization
CHICAGO MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R KAPOOR M.D., PH.D (PHYSICIAN)
(847) 596-4521
Entity
Organization
Contact information
Practice address
200 S GREENLEAF ST, SUITE A, GURNEE, IL 60031-3398
(847) 596-4521
Mailing address
200 S GREENLEAF ST, SUITE A, GURNEE, IL 60031-3398
(847) 596-4521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/25/2010
Last updated
06/07/2013
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