Organization
FIDAI MEDICAL CENTER S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZLEEN SHALWANI (OFFICE MANAGER)
(847) 741-9800
Entity
Organization
Contact information
Practice address
1710 N RANDALL ROAD, SUITE 230, ELGIN, IL 60123
(847) 931-8575
(847) 931-8581
Mailing address
1710 N RANDALL RD, SUITE 380, ELGIN, IL 60123-9400
(847) 741-9800
(847) 741-3058
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2007
Last updated
01/11/2008
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