Organization
APOLLO MEDICAL GROUP OF KANKAKEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYMAN ELFAR MD (MEMBER/MANAGER)
(812) 455-7798
Entity
Organization
Contact information
Practice address
403 S KENNEDY DR, BRADLEY, IL 60915-2152
(815) 928-9999
(815) 928-9916
Mailing address
PO BOX 1963, INDIANAPOLIS, IN 46206-1963
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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