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Organization

MEDRAD CLINICS SC

Active
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Organization

MEDRAD CLINICS SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH EKECHUKWU MD (PRESIDENT)
(708) 323-7608
Entity
Organization

Contact information

Practice address
115 SAINT FRANCIS CIR, OAK BROOK, IL 60523-2560
(708) 478-2372
Mailing address
115 SAINT FRANCIS CIR, OAK BROOK, IL 60523-2560
(708) 478-2372

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036083256
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036083256
IL
Enumeration date
04/22/2014
Last updated
04/22/2014
About Stedi
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  • EDI platform