Organization
ADVANCED MEDICAL PRACTICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREY LEV-WEISSBERG M.D. (MEDICAL DIRECTOR)
(847) 525-0421
Entity
Organization
Contact information
Practice address
1875 DEMPSTER ST, PARK RIDGE, IL 60068-1186
(847) 897-9010
Mailing address
4514 DAVIS ST, SKOKIE, IL 60076-1667
(847) 525-0421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036114127
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114127
—
IL
Enumeration date
10/13/2007
Last updated
03/29/2010
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