Organization
DIABETES AND INTERNAL MEDICINE OF ILLINOIS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD LYLE EINHORN MD (PRESIDENT)
(708) 450-5745
Entity
Organization
Contact information
Practice address
675 W NORTH AVE, SUITE 311, MELROSE PARK, IL 60160-1634
(708) 450-5745
(708) 345-3927
Mailing address
675 W NORTH AVE, SUITE 311, MELROSE PARK, IL 60160-1634
(708) 450-5745
(708) 345-3927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036056302
IL
Other
Enumeration date
02/10/2009
Last updated
03/11/2009
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