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Organization

ELGIN INTERNAL MEDICAL ASSOCIATES, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY AKEMANN RN (PRACTICE MANAGER)
(847) 742-3525
Entity
Organization

Contact information

Practice address
745 FLETCHER DR, SUITE 101, ELGIN, IL 60123-4747
(847) 742-3525
(847) 742-3585
Mailing address
745 FLETCHER DR, SUITE 101, ELGIN, IL 60123-4747
(847) 742-3525
(847) 742-3585

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042000063
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042-000063
REGISTERED MEDICAL CORPOR
IL
Enumeration date
12/20/2006
Last updated
06/30/2015
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