Organization
CHS ILLINOIS MEDICAL, S.C.
Active
Parent organization
CHS HEALTH SERVICES, LLC
Other names
Altria Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHS HEALTH SERVICES, LLC
Authorized official
STUART CLARK (EXECUTIVE VP)
(615) 577-4927
Entity
Organization
Contact information
Practice address
11601 COPENHAGEN CT, FRANKLIN PARK, IL 60131-1301
(847) 957-2847
Mailing address
5500 MARYLAND WAY, STE 400, BRENTWOOD, TN 37027-4948
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
02/04/2015
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