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NPI Code Detail

MEDICARE: GLOBUS GROUP, INC

MEDICARE: GLOBUS GROUP, INC
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
12085U0001XDiagnostic Ultrasound Physician

General Provider Information

NPI Number : 1760725519
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLOBUS GROUP, INC
Provider Business Mailing Address
First Line : 752 S PARKSIDE DR
Second Line :
City : ROUND LAKE
State : IL
Zip : 60073-4260
Country : US
Telephone Number : 847-845-0070
Fax Number : 224-333-6522
Provider Business Practice Location Address
First Line : 752 S PARKSIDE DR
Second Line :
City : ROUND LAKE
State : IL
Zip : 60073-4260
Country : US
Telephone Number : 847-845-0070
Fax Number : 224-333-6522
Authorized Official
Title or Position : PRESIDENT
Name : MR. FARKHAD ALIYEV
Credential :
Telephone Number : 847-845-0070
Provider Enumeration Date : 03/30/2013
Last Update Date : 03/30/2013

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Directions to “GLOBUS GROUP, INC ” Practice Location

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