Organization
CALIFORNIA DEVON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS GUREVICH M.D. (MEDICAL DIRECTOR)
(773) 973-6100
Entity
Organization
Contact information
Practice address
6420 N CALIFORNIA AVE, CHICAGO, IL 60645-5253
(773) 973-6100
(773) 262-4882
Mailing address
6420 N CALIFORNIA AVE, CHICAGO, IL 60645-5253
(773) 973-6100
(773) 262-4882
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
01/08/2009
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