| NPI | 1639375637 |
|---|---|
| Doing Business As | HEALTHY TRUST IMMEDIATE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | BORIS GUREVICH Medical Director 847-520-8909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036-118777) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-010375) |
| 207Q00000X Family Medicine (Licence: IL 036-116850) | |
| 207R00000X Internal Medicine (Licence: IL 036-062524) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036-115321) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036-110569) | |
| 207Q00000X Family Medicine (Licence: IL 036.106058) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-10-02 |