Organization
LG CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON GURVICH ANP,MS, CWS (OWNER)
(847) 293-7375
Entity
Organization
Contact information
Practice address
1910 LANDWEHR RD, NORTHBROOK, IL 60062-5163
(847) 293-7375
(847) 400-0881
Mailing address
1910 LANDWEHR RD, NORTHBROOK, IL 60062-5163
(847) 293-7375
(847) 400-0881
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.006769
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331022542001
—
IL
Enumeration date
05/03/2014
Last updated
12/11/2024
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