Individual
EDWARD H MKRDICHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4501 N WINCHESTER AVE, 3RD FL, CHICAGO, IL 60640
(773) 250-0500
(773) 250-0497
Mailing address
4501 N WINCHESTER AVE, 3RD FL, CHICAGO, IL 60640
(773) 250-0500
(773) 250-0497
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036063585
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360635851
—
IL
Enumeration date
03/14/2006
Last updated
10/31/2008
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