Individual
DR. ANTRANIK S POLADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 JORIE BLVD, OAK BROOK, IL 60523
(630) 954-6700
(963) 954-1555
Mailing address
900 JORIE BLVD, OAK BROOK, IL 60523
(630) 954-6700
(963) 954-1555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-079591
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-079591
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-079591-2
—
IL
Enumeration date
08/03/2005
Last updated
09/22/2010
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