Organization
ENDOCRINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CUNNINGHAM MD (MEMBER)
(708) 660-5900
Entity
Organization
Contact information
Practice address
520 S MAPLE AVE, OAK PARK, IL 60304-1022
(708) 660-5900
Mailing address
PO BOX 378, ORLAND PARK, IL 60462-0378
(773) 433-3838
(708) 301-0600
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633083
BCBS
IL
01
—
7304353
AETNA
IL
01
—
CK2974
RAIL ROAD MEDICARE
IL
Enumeration date
11/15/2006
Last updated
01/12/2009
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