Organization
EXCELSIOR MEDICAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA ULYANOVA M.D. (OWNER)
(847) 566-5556
Entity
Organization
Contact information
Practice address
333 E IL ROUTE 83, SUITE 107, MUNDELEIN, IL 60060-4214
(847) 566-5556
(847) 566-8886
Mailing address
333 E IL ROUTE 83, SUITE 107, MUNDELEIN, IL 60060-4214
(847) 566-5556
(847) 566-8886
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
01/19/2008
Last updated
01/19/2008
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