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Organization

ADVANCE MIDWEST MEDICAL SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAJIV SOOD M.D. (OWNER / PHYSICIAN)
(312) 953-0949
Entity
Organization

Contact information

Practice address
319 S BARRINGTON RD, SCHAUMBURG, IL 60193-5345
(312) 953-0949
(847) 241-4467
Mailing address
319 S BARRINGTON RD, SCHAUMBURG, IL 60193-5345
(312) 953-0949
(847) 241-4467

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036111523
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036111523
IL
Enumeration date
03/18/2009
Last updated
03/18/2009
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