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Organization

CALIFORNIA DEVON MEDICAL CENTER

Active
Other names
Healthy Trust Immediate Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BORIS GUREVICH M.D. (MEDICAL DIRECTOR)
(847) 520-8909
Entity
Organization

Contact information

Practice address
342 SOUTH MILWAUKEE AVE., WHEELING, IL 60090
(847) 520-8909
(847) 520-8929
Mailing address
342 SOUTH MILWAUKEE AVE., WHEELING, IL 60090
(847) 520-8909
(847) 520-8929

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
IL
207Q00000X
Family Medicine Physician
IL
207R00000X
Internal Medicine Physician
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
IL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
IL
208D00000X
General Practice Physician
Primary
IL

Other

Enumeration date
06/26/2007
Last updated
10/02/2007
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