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Organization

INTERVENTION ARMS MEDICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA ANN CHARLES FIELDS (DIRECTOR)
(847) 785-0611
Entity
Organization

Contact information

Practice address
1809 SHERIDAN RD, NORTH CHICAGO, IL 60064-2235
(847) 785-0611
(847) 785-0617
Mailing address
1809 SHERIDAN RD, NORTH CHICAGO, IL 60064-2235
(847) 785-0611
(847) 785-0617

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208000000X
Pediatrics Physician
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036054557
IL
05
036065847
IL
05
036102939
IL
05
085001395
IL
05
085005371
IL
Enumeration date
02/06/2008
Last updated
08/27/2025
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