Organization
PARK AVENUE PRIVATE PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S GARLAND M.D. (PRESIDENT, MEDICAL DOCTOR)
(847) 433-5505
Entity
Organization
Contact information
Practice address
767 PARK AVE W STE 350, HIGHLAND PARK, IL 60035-2472
(847) 433-5505
(847) 433-5510
Mailing address
767 PARK AVE W STE 350, HIGHLAND PARK, IL 60035-2472
(847) 433-5505
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
248.001237
IL
Other
Enumeration date
10/26/2015
Last updated
02/02/2016
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