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Organization

NEUROLOGY MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMARISH DAVE D.O. (OWNER)
(815) 337-2060
Entity
Organization

Contact information

Practice address
1011 MASON LN, LAKE IN THE HILLS, IL 60156-4460
(815) 337-2060
Mailing address
1011 MASON LN, LAKE IN THE HILLS, IL 60156-4460
(815) 337-2060

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036107107
IL

Other

Enumeration date
05/05/2008
Last updated
05/05/2008
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