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Advanced Arlington Sports Medicine Center

Internal Medicine in Buffalo Grove, IL. Organization (NPI-2).

NPI number1437372182
StatusActive
Last updated in NPPESFeb 24, 2012

Details

NPI
1437372182
Entity type
Organization (NPI-2)
Legal business name
Advanced Arlington Sports Medicine Center
Organization subpart
No
Enumeration date
Apr 11, 2007
Last updated
Feb 24, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036106724ILYes

Practice location

329 W Dundee Rd
Buffalo Grove, IL 60089-3545

Phone 847-243-0355 · Fax 847-243-0356

Mailing address

329 W Dundee Rd
Buffalo Grove, IL 60089-3545

Phone 847-243-0355 · Fax 847-243-0356

Authorized official

Eguert Nagaj
Medical Doctor
8472430355

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