Platinum Medical Associates, Ltd

NPI 1215327101 - Internal Medicine - 207R00000X

NPI Details
NPI 1215327101
Enumeration Date 01/29/2015
Last Updated 01/29/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name CHRIS TARA BULAON CHRIS TARA
Position PRESIDENT
Phone (773) 742-3941
Fax
Practice Location
2800 N SHERIDAN RD
SUITE 110
CHICAGO IL, 60657-6156, US
Phone (773) 742-3941
Fax
Business Location
2401 W ALTA RD
APT 3306
PEORIA IL, 61615-1279, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036130229
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According to our database, Platinum Medical Associates, Ltd NPI is 1215327101, taxonomy code is 207R00000X and license number is 036130229, license state is located at Illinois. Platinum Medical Associates, Ltd physically located at 2800 N Sheridan Rd, Chicago IL, 60657-6156. NPI Number 1033115704 has the healthcare provider type.

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1215327101 NPI number is provided on an as is basis without warranty of any kind. 1215327101 is maintained by the National Plan & Provider Enumeration System. The contents of Platinum Medical Associates, Ltd are for informational purposes only.