Organization
IMED GLENVIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER GORODETSKY MD (CO-OWNER)
(847) 962-3207
Entity
Organization
Contact information
Practice address
1247 MILWAUKEE AVE, GLENVIEW, IL 60025-2464
(847) 962-3207
(847) 835-3058
Mailing address
1247 MILWAUKEE AVE, GLENVIEW, IL 60025-2464
(847) 962-3207
(847) 835-3058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
2085R0202X
Diagnostic Radiology Physician
—
IL
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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