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Organization

VHS OF ILL DBA MACNEAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WINSTON DAYALAN RAJENDRAM M.D. (RESIDENT PHYSICIAN)
(708) 783-2000
Entity
Organization

Contact information

Practice address
3231 S EUCLID AVE 5TH FL, DEPT OF FAMILY MEDICINE, BERWYN, IL 60402
(708) 783-2000
(708) 783-3656
Mailing address
850 N STATE ST, APT 19H, CHICAGO, IL 60610-8678
(312) 981-1406
(708) 783-3656

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
IL

Other

Enumeration date
08/29/2007
Last updated
08/29/2007
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