Organization
EDWARD V GHISLANDI, M.D.PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE BEAUCHAMP (OFFICE MANAGER)
(773) 282-2520
Entity
Organization
Contact information
Practice address
5641 W IRVING PARK RD, CHICAGO, IL 60634-2742
(773) 282-2520
(773) 282-7970
Mailing address
5641 W IRVING PARK RD, CHICAGO, IL 60634-2742
(773) 282-2520
(773) 282-7970
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036039002
—
IL
Enumeration date
08/17/2009
Last updated
08/17/2009
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