Organization
SKOKIE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MEHDI BASSIRATPOUR M.D. (OWNER/MANAGER)
(630) 605-2646
Entity
Organization
Contact information
Practice address
8301 SKOKIE BLVD, SKOKIE, IL 60077-2546
(847) 674-4481
(847) 674-4491
Mailing address
3S138 PARK BLVD, GLEN ELLYN, IL 60137-7233
(630) 605-2646
(630) 790-0655
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036106820
IL
Other
Enumeration date
02/16/2012
Last updated
03/07/2012
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