Provider Demographics
NPI:1457683369
Name:HEALTHCORE CENTER
Entity Type:Organization
Organization Name:HEALTHCORE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIM
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:708-612-2525
Mailing Address - Street 1:1873 WAUKEGAN RD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2158
Mailing Address - Country:US
Mailing Address - Phone:847-724-9700
Mailing Address - Fax:847-724-4202
Practice Address - Street 1:1873 WAUKEGAN RD
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2158
Practice Address - Country:US
Practice Address - Phone:847-724-9700
Practice Address - Fax:847-724-4202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service