Organization
METRO PHYSICIANS & SPECIALISTS
Active
Organization
METRO PHYSICIANS & SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIYAZAR GADDAM (PHYSICIAN OWNER)
(630) 718-0200
Entity
Organization
Contact information
Practice address
326 W 64TH ST, CHICAGO, IL 60621-3146
(773) 962-3900
(773) 962-3900
Mailing address
PO BOX 598021, CHICAGO, IL 60659-8021
(708) 536-8437
(708) 536-8437
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621199
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
05/04/2006
Last updated
05/06/2026
Update your record
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