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ILLINOIS ADULT HEALTHCARE LLC NPI 1407219504


NPI Information

NPI: 1407219504
Provider Name: ILLINOIS ADULT HEALTHCARE LLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
800 BIESTERFIELD RD
SUITE 3007
ELK GROVE VILLAGE, IL
ZIP 60007
Phone: (847) 290-6513
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ILLINOIS ADULT HEALTHCARE LLC is a geriatric medicine internal medicine in Elk Grove Village, IL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. ILLINOIS ADULT HEALTHCARE LLC NPI is 1407219504. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 BIESTERFIELD RD
SUITE 3007
ELK GROVE VILLAGE, IL
ZIP 60007-361
Phone: (847) 290-6513
Fax: (847) 290-8505

The provider's authorized official is Ilya I Fishman .
The authorized official title is Owner/physician and has the following contact phone number (718) 644-6778.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 4/5/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine036118688ILLINOISNo
2207RG0300XInternal MedicineGeriatric Medicine036118688ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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