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Organization
CARDINAL INNOVATIVE MEDICAL PRACTICE, P.C.
Active
Organization
CARDINAL INNOVATIVE MEDICAL PRACTICE, P.C.
Active
Other names
Doctor on Demand Professionals of Illinois, Basu Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A THAMES MD (PRESIDENT)
(800) 997-6196
Entity
Organization
Contact information
Practice address
1 CALIFORNIA ST STE 2300, SAN FRANCISCO, CA 94111-5424
(800) 996-6196
(833) 523-9924
Mailing address
1 CALIFORNIA ST STE 2300, SAN FRANCISCO, CA 94111-5424
(800) 996-6196
(833) 523-9924
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2014
Last updated
10/16/2024
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