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Organization

TINLEY ORLAND MEDICAL CENTER LLC

Active
Other names
ADVOCATE CHRIST CARDIOVASCULAR INSTITUTE
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINICA TALLARICO (VP AMBULATORY SERVICES)
(708) 684-5014
Entity
Organization

Contact information

Practice address
18210 LA GRANGE RD, SUITE 210, TINLEY PARK, IL 60487
(708) 342-7950
(708) 342-7962
Mailing address
18210 LA GRANGE RD, SUITE 210, TINLEY PARK, IL 60487
(708) 342-7950
(708) 342-7962

Taxonomy

Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01634400
BCBS GROUP
IL
01
DC0037
RAILROAD MEDICARE GRP
IL
Enumeration date
06/25/2006
Last updated
08/22/2020
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