Organization
J W MUSCADIN MD PEDIATRIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN-WILSON MUSCADIN MD (PHYSICIAN)
(773) 874-3005
Entity
Organization
Contact information
Practice address
326 W 64TH ST STE 303, CHICAGO, IL 60621-3114
(773) 874-3005
(773) 962-4638
Mailing address
326 W 64TH ST STE 303, CHICAGO, IL 60621-3114
(773) 874-3005
(773) 962-4638
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-063960
IL
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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