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Organization
RIVER FOREST MEDICAL ASSOC INC
Active
Organization
RIVER FOREST MEDICAL ASSOC INC
Active
Other names
WILLIAM J SARANTOS,MD
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J SARANTOS M.D. (PRESIDENT)
(708) 867-6087
Entity
Organization
Contact information
Practice address
7353 NORTH AVE, RIVER FOREST, IL 60305-1278
(708) 867-6087
(708) 867-6032
Mailing address
7353 NORTH AVE, RIVER FOREST, IL 60305-1278
(708) 867-6087
(708) 867-6032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036066094
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031601446
BCBS PROVIDER ID #
IL
05
—
036066094
—
IL
01
—
1023192671
NPI ( PERSONAL)
IL
Enumeration date
05/08/2007
Last updated
05/06/2008
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