Organization
DANGREMOND & JAHARIS LLC
Active
Other names
Winnetka Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA V BORISOVA (BILLING MNGR)
(847) 446-0202
Entity
Organization
Contact information
Practice address
750 GREEN BAY RD, WINNETKA, IL 60093
(847) 446-0202
(847) 446-0208
Mailing address
750 GREEN BAY RD, WINNETKA, IL 60093
(847) 446-0202
(847) 446-0208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036073154
IL
207Q00000X
Family Medicine Physician
036078117
IL
Other
Enumeration date
04/26/2007
Last updated
03/04/2011
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