Organization
APOLLO MEDICAL GROUP OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYMAN ELFAR MD (MANAGING PARTNER)
(941) 725-1198
Entity
Organization
Contact information
Practice address
3034 W PETERSON AVE, CHICAGO, IL 60659-3729
(773) 497-1961
Mailing address
PO BOX 4324, SPRINGFIELD, IL 62708-4324
(941) 725-1198
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/23/2024
Last updated
04/25/2024
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