Individual
DR. REDOUANE BOUMENDJEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 S WOOD ST, SUITE 130 CSN, CHICAGO, IL 60612
(312) 996-7250
Mailing address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-5549
(847) 723-7540
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125051840
IL
Other
Enumeration date
06/11/2008
Last updated
12/09/2021
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