Organization
THE MEDICAL & SURGICAL CENTER OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL POTACH (PRESIDENT)
(847) 808-3338
Entity
Organization
Contact information
Practice address
3818 NOTTINGHAM DR, LONG GROVE, IL 60047-5240
(847) 808-3338
Mailing address
3818 NOTTINGHAM DR, LONG GROVE, IL 60047-5240
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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