Organization
C J IRELAND D O S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFF J IRELAND D.O. (PRESIDENT)
(847) 679-6707
Entity
Organization
Contact information
Practice address
4905 OLD ORCHARD CTR, SKOKIE, IL 60077-1425
(847) 679-6707
Mailing address
4905 OLD ORCHARD CTR, SKOKIE, IL 60077-1425
(847) 679-6707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036071364
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621317
BCBS
IL
Enumeration date
03/06/2008
Last updated
05/21/2008
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