Organization
ILLINOIS MEDICAL SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIRENKUMAR ITALIA (MD)
(800) 557-8950
Entity
Organization
Contact information
Practice address
980 N MICHIGAN AVE STE 1400, PMB 226, CHICAGO, IL 60611-7500
(800) 557-8950
Mailing address
133 ROLLINS AVE STE 3, ROCKVILLE, MD 20852-4040
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
11/09/2021
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