Organization
MULTISPECIALTY MEDICAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DREW S KANDILAKIS D.C. (CLINIC DIRECTOR)
(630) 323-7096
Entity
Organization
Contact information
Practice address
333 CHESTNUT ST, SUITE 205, HINSDALE, IL 60521-3247
(630) 323-7096
(630) 323-7531
Mailing address
40 S CLAY ST, SUITE 246E, HINSDALE, IL 60521-3257
(630) 323-7096
(630) 323-7531
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
042-618356
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2232680
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
07/10/2006
Last updated
07/09/2008
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