Organization
ROLAND S MEDANSKY & RAYMOND M HANDLER
Active
Parent organization
ROLAND S MEDANSKY & RAYMOND M HANDLER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROLAND S MEDANSKY & RAYMOND M HANDLER
Authorized official
DR. RAYMOND M HANDLER M.D. (PARTNER)
(847) 299-1044
Entity
Organization
Contact information
Practice address
8780 W GOLF RD, SUITE 303, NILES, IL 60714-5602
(847) 299-1044
(847) 299-0425
Mailing address
8780 W GOLF RD, SUITE 303, NILES, IL 60714-5602
(847) 299-1044
(847) 299-0425
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0162954574
NILES BLUE CROSS
IL
01
—
0163954584
CHICAGO BLUE CROSS
IL
01
—
216-00658-36
NILES BLUE CROSS
IL
01
—
2162065856
CHICAGO BLUE CROSS
IL
Enumeration date
06/05/2006
Last updated
07/24/2007
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