Organization
ASSOCIATED MEDICAL CENTERS OF ILLINOIS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T FOREMAN MD (PRESIDENT)
(773) 947-7746
Entity
Organization
Contact information
Practice address
2656 W MONTROSE, STE 100, CHICAGO, IL 60618
(773) 267-1304
(773) 267-1307
Mailing address
2656 W MONTROSE, STE 100, CHICAGO, IL 60618
(773) 267-1304
(773) 267-1307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042007088
IL
Other
Enumeration date
04/10/2007
Last updated
04/12/2012
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