Individual
DR. MARC J OVADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1875 DEMPSTER ST STE 605, PARK RIDGE, IL 60068-1168
(773) 612-4184
(847) 692-6755
Mailing address
1875 DEMPSTER STREET, PARKSIDE BUILDING SUITE 605, PARKRIDGE, IL 60068
(773) 612-4184
(847) 692-6755
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
036103080
IL
208000000X
Pediatrics Physician
036103080
IL
2080P0202X
Pediatric Cardiology Physician
036103080
IL
2080P0202X
Pediatric Cardiology Physician
Primary
170004
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-103080-3
—
IL
05
—
036103080
—
IL
Enumeration date
08/01/2005
Last updated
06/09/2022
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