Organization
EMELITA C. CO , M.D. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMELITA C CO MD (PRESIDENT)
(708) 660-6030
Entity
Organization
Contact information
Practice address
610 S MAPLE AVE STE 3300, OAK PARK, IL 60304-2803
(708) 660-6030
(708) 660-6040
Mailing address
610 S MAPLE AVE STE 3300, OAK PARK, IL 60304-2803
(708) 660-6030
(708) 660-6040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634479
BCBS
IL
Enumeration date
03/14/2008
Last updated
03/14/2008
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