Organization · NPI-2
Av-Acumed P.C.
Clinic/Center · Arlington Heights, IL
NPI number1588091623
StatusActive
Last updated in NPPESOct 12, 2016
Details
- NPI
- 1588091623
- Entity type
- Organization (NPI-2)
- Legal business name
- Av-Acumed P.C.
- Organization subpart
- No
- Enumeration date
- Oct 3, 2013
- Last updated
- Oct 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 198000947 | IL | Yes |
Practice location
306 W Campus DrSuite D
Arlington Heights, IL 60004-7831
Phone 847-951-8007
Mailing address
306 W Campus DrSuite D
Arlington Heights, IL 60004-7831
Phone 847-951-8007
Authorized official
Aleksandr Valko
Presdent
8479518007
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