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NPI Profile for AVID PRIMARY CARE LLC in HAZEL CREST, IL.
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice |
| NPI # | 1295522688 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/21/2025 | |
| Last updated | 05/22/2026 - About 2 weeks ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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AVID PRIMARY CARE LLC
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AVID PRIMARY CARE LLC