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Organization

HERAND ABCARIAN MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HERAND ABCARIAN MD (PRESIDENT)
(708) 450-5075
Entity
Organization

Contact information

Practice address
675 W NORTH AVENUE, SUITE 406, MELROSE PARK, IL 60160-1634
(708) 450-5075
(708) 681-7694
Mailing address
675 W NORTH AVENUE, SUITE 406, MELROSE PARK, IL 60160-1634
(708) 450-5075
(708) 681-7694

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31623050
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/13/2007
Last updated
08/22/2020
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