Individual
DUMITRU F CIOATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 222, CHICAGO, IL 60631-3745
(773) 774-5245
(773) 774-8580
Mailing address
7447 W TALCOTT AVE, SUITE 222, CHICAGO, IL 60631-3745
(773) 774-5245
(773) 774-8580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036062874
IL
207RC0000X
Cardiovascular Disease Physician
036-062874
IL
207RI0011X
Interventional Cardiology Physician
Primary
036-062874
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21606541
BLUE CROSS BLUE SHIELD
IL
05
—
36062874
—
IL
Enumeration date
08/03/2005
Last updated
12/13/2011
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