Organization
ELMHURST MEMORIAL HEALTHCARE
Active
Other names
Elmhurst Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HOFFMAN MD (CEO)
(331) 221-9000
Entity
Organization
Contact information
Practice address
1200 S YORK ST, ELMHURST, IL 60126-5626
(331) 221-9000
(331) 221-2706
Mailing address
PO BOX 776977, CHICAGO, IL 60677-6977
(630) 946-2961
(630) 545-6010
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0398570001
DMERC
IL
01
—
2215149
BLUE CROSS BLUE SHIELD
IL
01
—
CM0811
RAILROAD MEDICARE GROUP #
IL
Enumeration date
02/13/2007
Last updated
05/18/2021
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