Organization Name: | MED-CARE PHYSICIANS LLC |
NPI Number: | 1083003958 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEHDI BASSIRATPOUR (OWNER) |
Mailing Address: | 3s138 Park Blvd Glen Ellyn |
State: | IL US |
Postal Code: | 601377233 |
Phone Number: | 6306052646 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2015 |
NPI Last Update Date: | 01/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Transplant Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |