Organization
ADVANCED CENTER FOR ENDOSCOPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MAITAR MD (PRESIDENT/OWNER)
(847) 551-9617
Entity
Organization
Contact information
Practice address
151 DUNDEE AVE, EAST DUNDEE, IL 60118-1648
(847) 551-9617
(847) 551-9610
Mailing address
151 DUNDEE AVE, EAST DUNDEE, IL 60118-1648
(847) 551-9617
(847) 551-9610
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IL
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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