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Organization
EDM CONSULTANT SERVICES LTD
Active
Organization
EDM CONSULTANT SERVICES LTD
Active
Other names
Rim Joubran
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIM JOUBRAN MD (MD)
(708) 681-7695
Entity
Organization
Contact information
Practice address
675 W NORTH AVE, STE 104, MELROSE PARK, IL 60160
(708) 681-7695
(708) 345-7112
Mailing address
675 W NORTH AVE, STE 104, MELROSE PARK, IL 60160
(708) 681-7695
(708) 345-7112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36091925
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091925
—
IL
01
—
21623287
BLUE CROSS BLUE SHIELD
IL
01
—
3362078002
CIGNA
IL
Enumeration date
06/01/2006
Last updated
11/05/2014
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