Organization
CARDIO-MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI S JANICEK (PRACTICE MANAGER)
(708) 422-8282
Entity
Organization
Contact information
Practice address
9830 RIDGELAND AVE, STE 5, CHICAGO RIDGE, IL 60415-2667
(708) 422-8282
(708) 422-9111
Mailing address
9210 PAYSPHERE CIR, CHICAGO, IL 60674-0092
(708) 422-8282
(708) 422-9111
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036044355
IL
Other
Enumeration date
08/28/2006
Last updated
08/26/2014
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