Organization
COLEMAN R SESKIND MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA CARDONA (MANAGER)
(312) 726-7595
Entity
Organization
Contact information
Practice address
100 E HURON STREET, SUITE 1704, CHICAGO, IL 60611-5900
(312) 664-1666
(312) 664-6887
Mailing address
100 E HURON STREET, SUITE 1704, CHICAGO, IL 60611-5900
(312) 664-1666
(312) 664-6887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3637930
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1604975
BLUE CROSS BLUE SHIELD
IL
05
—
36037930
—
IL
Enumeration date
12/05/2006
Last updated
07/16/2007
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