Organization
GOLF MILL MEDICAL CENTER LTD
Active
Other names
Golf Mill Medical Center LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD E HERNAEZ MD (MD)
(847) 983-8695
Entity
Organization
Contact information
Practice address
7124 W TOUHY AVE, NILES, IL 60714-4526
(847) 983-8695
(847) 972-1926
Mailing address
7124 W TOUHY AVE, NILES, IL 60714-4526
(847) 983-8695
(847) 972-1926
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036093705
IL
208000000X
Pediatrics Physician
036083674
IL
Other
Enumeration date
09/15/2006
Last updated
02/22/2013
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