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Organization

KAREN ALTAY MD LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAREN A ALTAY MD (PRESIDENT)
(630) 893-0900
Entity
Organization

Contact information

Practice address
471 W ARMY TRAIL RD, SUITE 105, BLOOMINGDALE, IL 60108-2673
(630) 893-0900
(630) 893-0922
Mailing address
471 W ARMY TRAIL RD, SUITE 105, BLOOMINGDALE, IL 60108-2673
(630) 893-0900
(630) 893-0922

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036.061735
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D16654
MEDICARE PTAN 783880
IL
Enumeration date
05/17/2012
Last updated
05/17/2012
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