| Gathering Valley Center | |
|
8019 Lincoln Ave Skokie IL 60077-3611 | |
| (847) 568-0849 | |
| (847) 410-2123 |
| Full Name | Gathering Valley Center |
|---|---|
| Speciality | Clinic/center |
| Location | 8019 Lincoln Ave, Skokie, Illinois |
| Authorized Official Name and Position | Georgiy Lifshits (PRESIDENT) |
| Authorized Official Contact | 8475680849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gathering Valley Center 8019 Lincoln Ave Skokie IL 60077-3611 Ph: (847) 568-0849 | Gathering Valley Center 8019 Lincoln Ave Skokie IL 60077-3611 Ph: (847) 568-0849 |
| NPI Number | 1982745519 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982745519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 198-000104 (Illinois) | Primary |
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