Organization
ADDISON-CENTRAL PATHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VEN ADUANA MD (PRESIDENT)
(847) 757-7515
Entity
Organization
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 774-8000
Mailing address
1919 S HIGHLAND AVE STE 210, LOMBARD, IL 60148-6153
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633170
BCBS IL
IL
01
—
DA0104
RAILROAD MEDICARE
—
Enumeration date
09/15/2006
Last updated
12/18/2024
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