Organization
MEDICAL AND ALLIED RESOURCES DISTRIBUTOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANKAR DAS MD (PRESIDENT)
(773) 754-3500
Entity
Organization
Contact information
Practice address
4332 N ELSTON AVE, CHICAGO, IL 60641-2144
(773) 754-3500
(773) 754-3504
Mailing address
4332 N ELSTON AVE, CHICAGO, IL 60641-2144
(773) 754-3500
(773) 754-3504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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