Provider Demographics
NPI:1770840555
Name:ILLINOIS MEDICAL CARE AND CONSULTING, LLC
Entity Type:Organization
Organization Name:ILLINOIS MEDICAL CARE AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHUNLIU
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-275-8300
Mailing Address - Street 1:2932 WHISPERING OAKS DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-6329
Mailing Address - Country:US
Mailing Address - Phone:773-275-8300
Mailing Address - Fax:
Practice Address - Street 1:1104 W ARGYLE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-3610
Practice Address - Country:US
Practice Address - Phone:773-275-8300
Practice Address - Fax:773-275-8320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty