Village Of Elk Grove Village

Specialty details in registry · Elk Grove Village, IL

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At a glance

901 Wellington Ave, Elk Grove Village, IL 60007-3456

NPPES record updated Mar 11, 2009. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

901 Wellington Ave
Elk Grove Village, IL 60007-3456
Professional details: NPI, taxonomy & registry record
NPI1275552473
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3416L0300X
Enumeration date
Jul 19, 2006
Record updated
Mar 11, 2009
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

3416L0300X · Primary

License reported: 8183 IL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

901 Wellington Ave
Elk Grove Village, IL 60007-3456
Phone
(847) 734-8002
Fax
(847) 734-8024
Mailing address
PO BOX 457

WHEELING, IL 600900457
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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