# MULTISPECIALTY MEDICAL CENTER LTD

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

## Provider details

- **NPI number:** 1679507628
- **Authorized official:** DR. DREW S KANDILAKIS D.C. (CLINIC DIRECTOR)
- **Authorized official phone:** (630) 323-7096

## Contact information

- **Practice address:** 333 CHESTNUT ST, SUITE 205, HINSDALE, IL 60521-3247
- **Practice address phone:** (630) 323-7096
- **Practice address fax:** (630) 323-7531
- **Mailing address:** 40 S CLAY ST, SUITE 246E, HINSDALE, IL 60521-3257
- **Mailing address phone:** (630) 323-7096
- **Mailing address fax:** (630) 323-7531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 042-618356 | IL | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 07/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2232680 | BLUE CROSS BLUE SHIELD OF ILLINOIS | IL |