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Organization

MERIDIES MEDICAL CENTER LLC

Active
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Organization

MERIDIES MEDICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CECILIA IBRAHIM MD (PRESIDENT)
(708) 460-3300
Entity
Organization

Contact information

Practice address
10749 W 159TH ST, ORLAND PARK, IL 60467-4531
(708) 460-3300
(708) 460-3301
Mailing address
PO BOX 550, MATTESON, IL 60443-0550
(708) 460-3300
(708) 460-3301

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036090846
IL

Other

Enumeration date
03/19/2009
Last updated
11/30/2012
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