| Intensivist Group SC | |
|
800 W Central Road Arlington Heights IL 60005 | |
| (866) 540-5303 | |
| Not Available |
| Full Name | Intensivist Group SC |
|---|---|
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 800 W Central Road, Arlington Heights, Illinois |
| Authorized Official Name and Position | Jay S Cowen (PRESIDENT OWNER) |
| Authorized Official Contact | 8663440543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intensivist Group SC Dept 4392 Carol Stream IL 60122-4392 Ph: (866) 540-5303 | Intensivist Group SC 800 W Central Road Arlington Heights IL 60005 Ph: (866) 540-5303 |
| NPI Number | 1649229840 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 06/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649229840 | NPI | - | NPPES |
| 0004932462 | Other | IL | BLUE SHIELD IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | () | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | () | Secondary |
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