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Organization

SOUND PHYSICIANS OF KANKAKEE ILLINOIS, LLC

Active
Other names
Sound Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES KODJABABIAN (CHIEF REVENUE OFFICER)
(253) 682-1710
Entity
Organization

Contact information

Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 933-1671
Mailing address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
(253) 682-1710
(253) 284-1881

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208M00000X
Hospitalist Physician
Primary

Other

Enumeration date
04/06/2010
Last updated
04/06/2010
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