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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