| Imed Glenview LLC | |
|
1247 Milwaukee Ave Glenview IL 60025-2464 | |
| (847) 962-3207 | |
| (847) 835-3058 |
| Full Name | Imed Glenview LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1247 Milwaukee Ave, Glenview, Illinois |
| Authorized Official Name and Position | Alexander Gorodetsky (CO-OWNER) |
| Authorized Official Contact | 8479623207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imed Glenview LLC 1247 Milwaukee Ave Glenview IL 60025-2464 Ph: (847) 962-3207 | Imed Glenview LLC 1247 Milwaukee Ave Glenview IL 60025-2464 Ph: (847) 962-3207 |
| NPI Number | 1912199548 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 08/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912199548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | (Illinois) | Secondary |
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