Organization
MATERNAL AND CHILD MEDICAL CARE, S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORAWAN SUKAVACHANA MD (PRESIDENT/CEO)
(847) 650-1452
Entity
Organization
Contact information
Practice address
2055 W ARMY TRAIL RD, SUITE 104, ADDISON, IL 60101-1478
(847) 650-1452
(224) 535-7260
Mailing address
2055 WEST ARMY TRAIL ROAD, SUITE 104, ADDISON, IL 60101
(847) 650-1452
(224) 535-7260
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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