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Organization
S T CEASAR MD SC
Active
Organization
S T CEASAR MD SC
Active
Other names
SHELDON T CEASER, MD SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELDON T CEASER M.D. (PRESIDENT/OWNER)
(773) 846-1200
Entity
Organization
Contact information
Practice address
231 E. 75TH STREET, CHICAGO, IL 60619-2267
(773) 846-1200
Mailing address
231 E. 75TH STREET, CHICAGO, IL 60619-2267
(773) 846-1200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036068033
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110022821
RAILROAD MEDICARE
IL
01
—
31602649
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
03/01/2012
Last updated
03/01/2012
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