NPI 1053816835

Medovate LLC

Organisation Multi-Specialty Clinic/Center Buffalo Grove, IL

Practice location

Address: 1450 Busch Pkwy STE 145, Buffalo Grove, IL 60089-4541
Phone: (847) 499-5500
Mailing address: 1237 Country Ln, Deerfield, IL 60015-4722

Authorised official

Name: David Mann
Title: Owner
Phone: (847) 530-1215

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

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Registry record

NPI: 1053816835
Entity type: Organization
NPI issued: 26 Mar 2018
Record last updated: 27 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.