# HERAND ABCARIAN MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295868032
- **Authorized official:** HERAND ABCARIAN MD (PRESIDENT)
- **Authorized official phone:** (708) 450-5075

## Contact information

- **Practice address:** 675 W NORTH AVENUE, SUITE 406, MELROSE PARK, IL 60160-1634
- **Practice address phone:** (708) 450-5075
- **Practice address fax:** (708) 681-7694
- **Mailing address:** 675 W NORTH AVENUE, SUITE 406, MELROSE PARK, IL 60160-1634
- **Mailing address phone:** (708) 450-5075
- **Mailing address fax:** (708) 681-7694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | IL | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 31623050 | BLUE CROSS BLUE SHIELD | IL |