Organization
PROSALUD6238 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH CANELAS (MD)
(708) 829-7422
Entity
Organization
Contact information
Practice address
6238 CERMAK RD, BERWYN, IL 60402-2319
(708) 795-5020
(708) 795-5158
Mailing address
6238 CERMAK RD, BERWYN, IL 60402-2319
(708) 795-5020
(708) 795-5158
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036085902
IL
2084P0800X
Psychiatry Physician
036084800
IL
Other
Enumeration date
12/28/2016
Last updated
03/15/2017
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