Gurevich, Tamara

Gurevich, Tamara is an sole proprietor health care provider with primary practice located at 150 W Half Day Rd Suit 101, Buffalo Grove IL 60089-6591. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Gurevich, Tamara can be contacted via phone (847) 821-7010.

Contact Information

Primary practice address
150 W Half Day Rd Suit 101 Buffalo Grove IL 60089-6591
Phone: (847) 821-7010
Fax: (847) 821-1126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036104844 Illinois

Profile Details

NPI number 1336227503
LBN Legal business name Gurevich, Tamara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Nov 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336227503 NPPES
Illinois Other P00080504 RR MC
Illinois MEDICAID 036104844 RR MC
Illinois Other DD7475 RR MC
Illinois Other DE1545 RR MC

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