Organization
CRETICOS ID ASSOCIATES SC
Active
Organization
CRETICOS ID ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE M CRETICOS MD (PRESIDENT)
(773) 296-7039
Entity
Organization
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-7039
(773) 296-7909
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635822
BCBS PROVIDER ID
IL
01
—
141016
ADVOCATE HLTH PARTNERS ID
IL
01
—
DE8857
RAILROAD MEDICARE
IL
Enumeration date
06/21/2006
Last updated
04/22/2008
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