Organization
ANTONIO SENAT MD LTD
Active
Organization
ANTONIO SENAT MD LTD
Active
Other names
antonio senat md ltd
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA POLYAKOV (BILLING MANAGER)
(847) 897-5995
Entity
Organization
Contact information
Practice address
2201 W ROOSEVELT RD, BROADVIEW, IL 60155-3812
(708) 343-5773
(708) 343-2649
Mailing address
2201 W ROOSEVELT RD, BROADVIEW, IL 60155-3812
(708) 343-5773
(708) 343-2649
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036047085
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047085
—
IL
Enumeration date
05/21/2007
Last updated
01/18/2010
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