Organization
J C MEDICAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOLLY C ANAND MD (PRESIDENT)
(312) 565-2251
Entity
Organization
Contact information
Practice address
10551 S EWING AVE, CHICAGO, IL 60617-6220
(312) 565-2251
(630) 590-5132
Mailing address
8900 S COUNTY LINE RD, BURR RIDGE, IL 60527-6321
(312) 565-2251
(630) 590-5132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621630
BCBS
IL
Enumeration date
08/20/2006
Last updated
07/02/2009
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