Organization
SOUTHWEST MEDICAL CONSULTANTS, S.C.
Active
Parent organization
SOUTHWEST MEDICAL CONSULTANTS, S.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST MEDICAL CONSULTANTS, S.C.
Authorized official
DR. S VENKATARAMAN MD (PRESIDENT)
(708) 636-1818
Entity
Organization
Contact information
Practice address
10458 S PULASKI RD, OAK LAWN, IL 60453-4933
(708) 636-1818
(708) 636-2151
Mailing address
PO BOX 388320, CHICAGO, IL 60638-8320
(773) 767-4600
(773) 767-8320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
207RH0003X
Hematology & Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31601474
BLUE CROSS
IL
Enumeration date
07/15/2006
Last updated
12/30/2021
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