Organization
FIDAI MEDICAL GROUP
Active
Organization
FIDAI MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZLEEN VARGAS (OFFICE MANAGER)
(847) 741-9800
Entity
Organization
Contact information
Practice address
1710 N RANDALL RD, #380, ELGIN, IL 60123-9400
(847) 741-9800
(847) 741-3058
Mailing address
1710 N RANDALL RD, #380, ELGIN, IL 60123-9400
(847) 741-9800
(847) 741-3058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/10/2005
Last updated
08/22/2020
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