Organization
TOTAL CARE MEDICAL CLINIC
Active
Organization
TOTAL CARE MEDICAL CLINIC
Active
Other names
total care medical group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD M SPISHAKOFF MD (PHYSICIAN)
(708) 484-9506
Entity
Organization
Contact information
Practice address
6929 OGDEN AVE, BERWYN, IL 60402-3649
(708) 484-9472
(708) 484-9473
Mailing address
6929 OGDEN AVE, BERWYN, IL 60402-3649
(708) 484-9472
(708) 484-9473
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
036091578
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091578
—
IL
Enumeration date
01/28/2008
Last updated
04/13/2011
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