Organization
AGANAD MEDICAL GROUP, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA MONTENEGRO (OFFICE MANAGER)
(708) 681-7818
Entity
Organization
Contact information
Practice address
675 W NORTH AVE, SUITE 401, MELROSE PARK, IL 60160-1634
(708) 681-7818
(708) 681-7903
Mailing address
675 W NORTH AVE, SUITE 401, MELROSE PARK, IL 60160-1634
(708) 681-7818
(708) 681-7903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036079300
IL
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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