Organization
PANDIAN MEDICAL CORPORATION LTD
Active
Other names
ADROITA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVKUMAR PANDIAN M.D (MEDICAL DIRECTOR)
(630) 560-6015
Entity
Organization
Contact information
Practice address
120 E OGDEN AVE, SUITE 106, HINSDALE, IL 60521-3542
(630) 560-6015
(630) 757-4140
Mailing address
120 E OGDEN AVE, SUITE 106, HINSDALE, IL 60521-3542
(630) 560-6015
(630) 757-4140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
036130036
IL
2084P0802X
Addiction Psychiatry Physician
036130036
IL
Other
Enumeration date
05/06/2013
Last updated
09/08/2014
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