Provida Health Center SC
Provida Health Center SC provides Family Medicine Physician services in Gurnee, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
1425 N Hunt Club Rd Ste 100Gurnee, IL 60031
Phone: (847) 548-2200
Fax: (847) 548-2865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 042616958 (IL) |
|---|
Record details
| NPI number | 1881890333 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Luis Salazar — Authorized Official · (847) 548-2200 |
| Other names | Provida Family Medicine |
| NPI enumerated | June 22, 2007 |
| Last updated in NPPES | January 31, 2024 |
| Certification date | January 31, 2024 |
| Mailing address | 1425 N Hunt Club Rd Ste 100, Gurnee, IL 60031-2632 |
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Northshore Medical Consultants, Ltd
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Dhara Patel, DO
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Dr. Arpita Patel-Mehta, MD
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Thomas E Ritter, MD
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Dr. Luis I Salazar, MD
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Dr. Dilip Kantilal Shah, MD
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Julie Shapiro, MD
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