Organization
ADVANCED PRIMARY CARE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE BRODSKY M.D. (PRESIDENT)
(847) 626-1600
Entity
Organization
Contact information
Practice address
9201 WAUKEGAN RD, MORTON GROVE, IL 60053-2102
(847) 626-1600
(847) 626-1650
Mailing address
9201 WAUKEGAN RD, MORTON GROVE, IL 60053-2102
(847) 626-1600
(847) 626-1650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104522
—
IL
Enumeration date
12/06/2007
Last updated
08/30/2021
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