Individual
CHADWICK C PRODROMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1714 MILWAUKEE AVE, GLENVIEW, IL 60025-1441
(847) 699-6810
(847) 699-2854
Mailing address
1714 MILWAUKEE AVE, GLENVIEW, IL 60025-1441
(847) 699-6810
(847) 699-2854
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036062305
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062305
—
IL
01
—
1618365
BC/BS
IL
Enumeration date
06/19/2006
Last updated
08/03/2020
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