Organization
PULMONARY AND CRITICAL CARE CONSULTANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTANAS G RAZMA MD (OFFICER)
(708) 274-4900
Entity
Organization
Contact information
Practice address
11900 SOUTHWEST HWY, PALOS PARK, IL 60464-1200
(708) 274-4900
(708) 274-4949
Mailing address
700 E OGDEN AVE STE 304, WESTMONT, IL 60559-5554
(866) 871-5737
(630) 522-0843
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31601608
BCBS IL GROUP #
IL
01
—
CF4228
MEDICARE RAILROAD
IL
Enumeration date
10/17/2005
Last updated
07/20/2015
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