Organization
ILLINOIS PHYSICIANS ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARESH SAWLANI (MEDICAL DIRECTOR)
(773) 205-0800
Entity
Organization
Contact information
Practice address
3445 N CENTRAL AVE UNIT C, CHICAGO, IL 60634-4420
(773) 205-0800
Mailing address
3445 N CENTRAL AVE UNIT C, CHICAGO, IL 60634-4420
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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