Organization
ELMWOOD PARK IMMEDIATE HEALTH CARE CENTER, LLC
Active
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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