Healthcare Provider Details

I. General information

NPI: 1801715560
Provider Name (Legal Business Name): FIRSTLINE MEDICAL CARE, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 HUEHL RD BLDG 13B-3
NORTHBROOK IL
60062-2319
US

IV. Provider business mailing address

425 HUEHL RD BLDG 13B-3
NORTHBROOK IL
60062-2319
US

V. Phone/Fax

Practice location:
  • Phone: 847-380-6001
  • Fax: 847-628-0383
Mailing address:
  • Phone: 847-380-6001
  • Fax: 847-628-0383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TAMARA GUREVICH
Title or Position: PRESIDENT
Credential: MD
Phone: 847-380-6001