Organization
CHARM DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD M PEDRO M.D. (PHYSICIAN)
(708) 754-8522
Entity
Organization
Contact information
Practice address
403 W LINCOLN HWY, SUITE 25, CHICAGO HEIGHTS, IL 60411-2479
(708) 754-8522
(708) 754-8622
Mailing address
403 W LINCOLN HWY, SUITE 25, CHICAGO HEIGHTS, IL 60411-2479
(708) 754-8522
(708) 754-8622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0360385802
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360385802
—
IL
Enumeration date
08/13/2006
Last updated
08/22/2020
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