Healthcare Provider Details
I. General information
NPI: 1104955905
Provider Name (Legal Business Name): HEAL N CURE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/05/2007
Last Update Date: 06/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1122 WILLOW RD SUITE B
NORTHBROOK IL
60062-6819
US
IV. Provider business mailing address
PO BOX 68
TECHNY IL
60082-0068
US
V. Phone/Fax
- Phone: 847-686-4444
- Fax: 847-686-9999
- Phone: 847-686-4444
- Fax: 847-897-2099
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RB0002X |
| Taxonomy | Obesity Medicine (Internal Medicine) Physician |
| License Number | 036114659 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 036105667 |
| License Number State | IL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 036114659 |
| License Number State | IL |
VIII. Authorized Official
Name: DR.
MEENA
T
MALHOTRA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 847-686-4444