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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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