Organization
ALT-MED RESEARCH GROUP
Active
Organization
ALT-MED RESEARCH GROUP
Active
Other names
ALT-MED Medical and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK B MASSEY M.D. PHD (OWNER)
(847) 923-0046
Entity
Organization
Contact information
Practice address
1544 NERGE RD, ELK GROVE VILLAGE, IL 60007-3673
(847) 923-0046
(847) 923-0047
Mailing address
1544 NERGE RD, ELK GROVE VILLAGE, IL 60007-3673
(847) 923-0046
(847) 923-0047
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635922
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/08/2006
Last updated
07/21/2022
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