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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