Organization
NORTHWEST RHEUMATOLOGY SPECIALIST II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA HOLDEN (LAB BILLING MANAGER)
(404) 943-0205
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 4003, ELK GROVE VILLAGE, IL 60007-3361
(847) 364-0800
(847) 364-0858
Mailing address
5909 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30328-8102
(404) 943-0205
(404) 943-0209
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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