Organization
HEALTHGUARD MEDICAL NETWORK SC
Active
Other names
Healthguard Pediatric And Adult Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAMERON SAFARLOO (CEO)
(630) 907-6009
Entity
Organization
Contact information
Practice address
40W222 LA FOX ROAD, SUITE K, SAINT CHARLES, IL 60175-7625
(630) 443-7000
(630) 443-7590
Mailing address
1205 OAK STREET, NORTH AURORA, IL 60542-2006
(630) 907-6009
(630) 907-1890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
IL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
IL
Other
Enumeration date
09/27/2006
Last updated
08/28/2007
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