| Vanguard Medical Group | |
|
3249 Oak Park Ave Berwyn IL 60402-3429 | |
| (708) 783-3222 | |
| (708) 783-3489 |
| Full Name | Vanguard Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 3249 Oak Park Ave, Berwyn, Illinois |
| Authorized Official Name and Position | Craig C. Armin (VP OF GOVT PROGRAMS, TENET) |
| Authorized Official Contact | 8184362267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanguard Medical Group 20 Burton Hills Blvd Suite 100, Attention, Carol Bailey Nashville TN 37215-6197 Ph: (615) 665-6000 | Vanguard Medical Group 3249 Oak Park Ave Berwyn IL 60402-3429 Ph: (708) 783-3222 |
| NPI Number | 1205024791 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 03/18/2021 |
| Certification Date | 03/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205024791 | NPI | - | NPPES |
| 1638562 | Other | IL | BCBS - IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 207X00000X | Orthopaedic Surgery | () | Secondary |
| 208800000X | Urology | () | Secondary |
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