Organization
GREATER CHICAGO MEDICAL GROUP, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITA P SALDANHA M.D. (PRESIDENT)
(708) 987-3795
Entity
Organization
Contact information
Practice address
8700 S DANTE AVE, CHICAGO, IL 60619-7118
(773) 221-3900
(847) 352-0423
Mailing address
PO BOX 68726, SCHAUMBURG, IL 60168-0726
(708) 987-3795
(847) 352-0423
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64612247
CORPORATE FILE NUMBER
IL
Enumeration date
07/09/2009
Last updated
10/10/2018
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