Organization
SMC MEDICAL PROFESSIONALS LTD
Active
Organization
SMC MEDICAL PROFESSIONALS LTD
Active
Other names
Heather Cushing Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY CIOTOLA (RECEPTIONIST)
(630) 260-1818
Entity
Organization
Contact information
Practice address
800 ROOSEVELT RD STE 114, GLEN ELLYN, IL 60137-5839
(630) 474-2626
(630) 474-2629
Mailing address
800 ROOSEVELT RD, BLDG B, SUITE 114, GLEN ELLYN, IL 60137
(636) 474-2626
(630) 474-2629
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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