Organization
ILLINOIS PRIMARY MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CESAR C JAVIER (PRESIDENT)
(312) 532-5063
Entity
Organization
Contact information
Practice address
855 E GOLF RD, SUITE 2133, ARLINGTON HEIGHTS, IL 60005-5222
(312) 532-5063
Mailing address
855 E GOLF RD, SUITE 2133, ARLINGTON HEIGHTS, IL 60005-5222
(312) 532-5063
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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