Organization
ABSOLUTECARE OF ILLINOIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY P. FOTI MD (PRESIDENT)
(443) 738-0225
Entity
Organization
Contact information
Practice address
2627 W CERMAK RD, CHICAGO, IL 60608-3514
(667) 400-0048
Mailing address
10175 LITTLE PATUXENT PKWY STE 800, COLUMBIA, MD 21044-3401
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
11/05/2024
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