Organization
PULMONARY MEDICINE CONSULTANTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVAN G MCLEOD MD (PRESIDENT)
(708) 424-9288
Entity
Organization
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 424-9288
(708) 422-6664
Mailing address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 424-9288
(708) 422-6664
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21609909
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/27/2007
Last updated
08/22/2020
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