Organization
HERMOSA MEDICAL & DIAGNOSTIC CENTER INC
Active
Other names
Hermosa Medical & Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAGDA A. SHARIFEH (PRESIDENT)
(773) 772-8876
Entity
Organization
Contact information
Practice address
2004 N. PULASKI RD, CHICAGO, IL 60639-3767
(773) 772-8876
(773) 252-3091
Mailing address
2004 N. PULASKI RD, CHICAGO, IL 60639-3767
(773) 772-8876
(773) 252-3091
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
06/14/2016
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