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Quality Life Physician Care, S.C.

Family Medicine, Hospice and Palliative Medicine in Skokie, IL. Organization (NPI-2).

NPI number1396950002
StatusActive
Last updated in NPPESJan 18, 2008

Details

NPI
1396950002
Entity type
Organization (NPI-2)
Legal business name
Quality Life Physician Care, S.C.
Organization subpart
No
Enumeration date
May 14, 2007
Last updated
Jan 18, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QH0002X Family Medicine, Hospice and Palliative Medicine036-103944ILYes

Practice location

7933 Lincoln Ave
Skokie, IL 60077-3632

Phone 847-933-1199 · Fax 847-933-0099

Mailing address

7933 Lincoln Ave
Skokie, IL 60077-3632

Phone 847-933-1199 · Fax 847-933-0099

Authorized official

Peyman Pahlavan
President
3123719325

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