Organization
ELMWOOD PARK IMMEDIATE HEALTH CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNA BRZOSTOWSKA (COO)
(773) 637-1700
Entity
Organization
Contact information
Practice address
2333 N. HARLEM AVE, SUITE 100, CHICAGO, IL 60707-2718
(773) 637-2333
(773) 637-4229
Mailing address
2333 N. HARLEM AVE., SUITE 100, CHICAGO, IL 60707-2718
(773) 637-2333
(773) 637-4229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036112029
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634215
BCBS GROUP NUMBER
IL
Enumeration date
05/23/2006
Last updated
10/17/2014
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