Healthcare Provider Details

I. General information

NPI: 1306245220
Provider Name (Legal Business Name): PATIENTS CHOICE HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2014
Last Update Date: 08/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 N WOLF RD
WHEELING IL
60090-3027
US

IV. Provider business mailing address

505 N WOLF RD
WHEELING IL
60090-3027
US

V. Phone/Fax

Practice location:
  • Phone: 847-495-2545
  • Fax: 847-495-2544
Mailing address:
  • Phone: 847-495-2545
  • Fax: 847-495-2544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number036068817
License Number StateIL

VIII. Authorized Official

Name: JORGE SFEIR
Title or Position: OWNER
Credential: MD
Phone: 847-495-2545