Provider Demographics
NPI:1003043233
Name:AFFINITY HEALTHCARE LLC
Entity Type:Organization
Organization Name:AFFINITY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AEMISEGGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-487-0973
Mailing Address - Street 1:1450 BUSCH PARKWAY
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089
Mailing Address - Country:US
Mailing Address - Phone:847-459-7860
Mailing Address - Fax:847-459-4228
Practice Address - Street 1:1450 BUSCH PARKWAY
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089
Practice Address - Country:US
Practice Address - Phone:847-459-7860
Practice Address - Fax:847-459-4228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty