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:
Health care specialties
Specialty | Code | License # | 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 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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