Organization
ENDOCRINE MEDICAL SPECIALISTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN KRAVIS MD (PRESIDENT)
(847) 699-1900
Entity
Organization
Contact information
Practice address
9101 N GREENWOOD AVE, SUITE 207, NILES, IL 60714-1499
(847) 699-1900
(847) 699-1925
Mailing address
9101 N GREENWOOD AVE, SUITE 207, NILES, IL 60714-1499
(847) 699-1900
(847) 699-1925
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
036075285
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075285
—
IL
Enumeration date
11/05/2007
Last updated
01/08/2014
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