Organization
SOUTHWEST MEDICAL CONSULTANTS, S.C.
Active
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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