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NPI Code Detail

MEDICARE: WINCHESTER ENDOSCOPY, LLC

MEDICARE: WINCHESTER ENDOSCOPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/CenterIL

General Provider Information

NPI Number : 1780077719
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINCHESTER ENDOSCOPY, LLC
Provider Business Mailing Address
First Line : 1880 W WINCHESTER RD STE 201
Second Line :
City : LIBERTYVILLE
State : IL
Zip : 60048-5336
Country : US
Telephone Number : 847-247-0187
Fax Number : 847-247-0487
Provider Business Practice Location Address
First Line : 1870 W WINCHESTER RD STE 146
Second Line :
City : LIBERTYVILLE
State : IL
Zip : 60048-5359
Country : US
Telephone Number : 847-247-0187
Fax Number : 847-247-0487
Authorized Official
Title or Position : PRESIDENT
Name : DR. ARKAN I ALRASHID
Credential : MD
Telephone Number : 847-247-0187
Provider Enumeration Date : 03/16/2015
Last Update Date : 03/16/2015

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Directions to “WINCHESTER ENDOSCOPY, LLC ” Practice Location

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