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Organization
TRIAD HOSPITALIST GROUP SC
Active
Organization
TRIAD HOSPITALIST GROUP SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J BORDO MD (CHAIRMAN)
(773) 282-7000
Entity
Organization
Contact information
Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(773) 282-7000
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2009
Last updated
06/29/2009
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