East West Internal Medicine Associates, P.c.

NPI 1073746483 - Internal Medicine - 207R00000X

NPI Details
NPI 1073746483
Enumeration Date 09/01/2009
Last Updated 10/30/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name BORIS BORIS
Position MEDICAL DOCTOR
Phone (773) 973-6100
Fax (773) 262-4882
Practice Location
6420 N CALIFORNIA AVE
CHICAGO IL, 60645-5253, US
Phone (773) 973-6100
Fax (773) 262-4882
Business Location
6420 N CALIFORNIA AVE
CHICAGO IL, 60645-5253, US
Phone (773) 973-6100
Fax (773) 262-4882
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, East West Internal Medicine Associates, P.c. NPI is 1073746483, taxonomy code is 207R00000X East West Internal Medicine Associates, P.c. physically located at 6420 N California Ave, Chicago IL, 60645-5253. NPI Number 1033115704 has the healthcare provider type.

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1073746483 NPI number is provided on an as is basis without warranty of any kind. 1073746483 is maintained by the National Plan & Provider Enumeration System. The contents of East West Internal Medicine Associates, P.c. are for informational purposes only.