Organization
PREMIER MEDICAL CARE ADDISON, LTD
Active
Other names
Premier Occupational
Organization subpart
No
Provider details
NPI number
Authorized official
ANATOLY GOROVITS M.D. (PRESIDENT)
(630) 705-1630
Entity
Organization
Contact information
Practice address
1415 W LAKE ST, ADDISON, IL 60101-1870
(630) 705-1630
(630) 705-1692
Mailing address
1415 W LAKE ST, ADDISON, IL 60101-1870
(630) 705-1630
(630) 705-1692
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036113828
IL
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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