| Organization Name: | AMC MEDICAL CENTER, LLC |
| NPI Number: | 1073632394 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAYER ZAYAN (MANAGING PARTNER) |
| Mailing Address: | 661 Graceland Ave Des Plaines |
| State: | IL US |
| Postal Code: | 600164518 |
| Phone Number: | 8472239494 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 02/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |