NPI 1194808667

Arthritis & Internal Medicine Specialist

Organisation Preferred Provider Organization Skokie, IL

Practice location

Address: 9701 Knox Ave STE 102, Skokie, IL 60076-1256
Phone: (847) 674-7520
Fax: (847) 674-3358
Mailing address: 9701 N. Knox Ave STE 102, Skokie, IL 60076

Authorised official

Name: Scott Allen Kale
Title: President
Phone: (847) 674-7520

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Illinois →

Registry record

NPI: 1194808667
Entity type: Organization
NPI issued: 20 Oct 2006
Record last updated: 18 Jan 2008

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.