Organization
SOUTHWEST MEDICAL SPECIALISTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARYN MELICHAR (BILLING MANAGER)
(708) 423-2258
Entity
Organization
Contact information
Practice address
6311 W 95TH STREET, OAK LAWN, IL 60453-2201
(708) 423-2258
(708) 423-2305
Mailing address
6311 W 95TH STREET, OAK LAWN, IL 60453-2201
(708) 423-2258
(708) 423-2305
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042006686
IL
174400000X
Specialist
—
IL
Other
Enumeration date
03/07/2007
Last updated
06/19/2012
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