Organization
CENTRAL MEDICAL ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CARAZO M.D. (MEDICAL DIRECTOR)
(847) 259-3383
Entity
Organization
Contact information
Practice address
500 W CENTRAL RD, SUITE 106, MT PROSPECT, IL 60056-2347
(847) 259-3383
Mailing address
500 W CENTRAL RD, SUITE 106, MT PROSPECT, IL 60056-2347
(847) 259-3383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036082737
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002207312
BCBS PROVIDER NUMBER
IL
Enumeration date
04/25/2007
Last updated
09/03/2008
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