Organization
CMJ MEDICAL ENTERPRISES LTD
Active
Organization
CMJ MEDICAL ENTERPRISES LTD
Active
Other names
Claude Mandel Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA JOHNSON MD (MEDICAL DIRECTOR, PRESIDENT)
(773) 978-1400
Entity
Organization
Contact information
Practice address
8507 S STONY ISLAND AVE, CHICAGO, IL 60617-2247
(773) 978-1400
(773) 978-4389
Mailing address
8507 S STONY ISLAND AVE, CHICAGO, IL 60617-2247
(773) 978-1400
(773) 978-4389
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036057668
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1626621
BCBS
IL
05
—
36057668
—
IL
Enumeration date
03/29/2007
Last updated
11/26/2019
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