Organization
CLINICAL ASSOCIATES OF PALOS HEIGHTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LEE WAIDZUNAS MD (OWNER)
(708) 361-8449
Entity
Organization
Contact information
Practice address
11824 SOUTHWEST HWY, SUITE 110, PALOS HEIGHTS, IL 60463-1055
(708) 361-8449
(708) 361-8469
Mailing address
11824 SOUTHWEST HWY, SUITE 110, PALOS HEIGHTS, IL 60463-1055
(708) 361-8449
(708) 361-8469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.078350
IL
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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