Organization
RENATA J VARIAKOJIS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATA J VARIAKOJIS M.D. (PRESIDENT)
(708) 361-5550
Entity
Organization
Contact information
Practice address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 361-5550
(708) 361-5624
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 460-9836
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1637958
BCBS
IL
01
—
DN3724
PALMETTO GROUP
IL
01
—
P00616874
PALMETTO MEMBER
IL
Enumeration date
09/18/2007
Last updated
10/15/2010
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