Star Medcare Group LLC
Internal Medicine in Chicago, IL. Organization (NPI-2).
NPI number1548094360
StatusActive
Last updated in NPPESJan 25, 2025
Details
- NPI
- 1548094360
- Entity type
- Organization (NPI-2)
- Legal business name
- Star Medcare Group LLC
- Organization subpart
- No
- Enumeration date
- Aug 26, 2024
- Certification date
- Jan 25, 2025
- Last updated
- Jan 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – |
Practice location
11101 S State StChicago, IL 60628-4206
Phone 630-730-2159
Mailing address
7933 Oakview LnWoodridge, IL 60517-3742
Authorized official
Noman Khokher
Adminstrator
7736723376
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