Organization
JACQUES PAPAZIAN M.D,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUES PAPAZIAN M.D. (M.D.)
(618) 242-0672
Entity
Organization
Contact information
Practice address
4117 S WATER TOWER PL, SUITE C, MOUNT VERNON, IL 62864-6293
(618) 242-0672
(618) 242-0862
Mailing address
4117 S WATER TOWER PL, SUITE C, MOUNT VERNON, IL 62864-6567
(618) 242-0672
(618) 242-0862
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036093598
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027794
HEALTH ALLIANCE ID#
IL
05
—
036093598
—
IL
01
—
040009944
RAILROAD MEDICARE ID#
IL
01
—
04127654
BCBS OF IL PROVIDER#
IL
01
—
293973
HEALTHLINK PROVIDER ID#
IL
01
—
55563
GHP PROVIDER ID#
IL
Enumeration date
07/15/2006
Last updated
03/18/2014
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