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Organization

ALEXIAN BROTHERS MEDICAL GROUP SPECIALTY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REINHOLD LLERENA (CEO)
(855) 692-6482
Entity
Organization

Contact information

Practice address
701 BIESTERFIELD RD UNIT 4D, ELK GROVE VILLAGE, IL 60007-3309
(855) 692-6482
Mailing address
701 BIESTERFIELD RD UNIT 4D, ELK GROVE VILLAGE, IL 60007-3309
(855) 692-6482

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207Q00000X
Family Medicine Physician

Other

Enumeration date
01/25/2016
Last updated
10/20/2025
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