Organization
CONCORD CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTABEK FAYZIYEV (OWNER/PRESIDENT)
(630) 393-3775
Entity
Organization
Contact information
Practice address
27475 FERRY RD, WARRENVILLE, IL 60555-3808
(630) 393-3775
Mailing address
27475 FERRY RD, WARRENVILLE, IL 60555-3808
(630) 393-3775
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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