Organization
CONRAD MAY M.D. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD MAY M.D. (DOCTOR)
(773) 533-1417
Entity
Organization
Contact information
Practice address
3857 W WASHINGTON BLVD, CHICAGO, IL 60624-2342
(773) 533-1417
(773) 533-7348
Mailing address
3857 W WASHINGTON BLVD, CHICAGO, IL 60624-2342
(773) 533-1417
(773) 533-7348
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
207QA0505X
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03638263
—
IL
01
—
21600463
BCBS
IL
01
—
D12107
UPIN
IL
Enumeration date
08/17/2007
Last updated
03/07/2023
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