| Triad Hospitalist Group Sc | |
|
5645 W Addison St Chicago IL 60634-4403 | |
| (773) 282-7000 | |
| Not Available |
| Full Name | Triad Hospitalist Group Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5645 W Addison St, Chicago, Illinois |
| Authorized Official Name and Position | David J Bordo (CHAIRMAN) |
| Authorized Official Contact | 7732827000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Hospitalist Group Sc 520 E 22nd St Lombard IL 60148-6110 Ph: (630) 874-2542 | Triad Hospitalist Group Sc 5645 W Addison St Chicago IL 60634-4403 Ph: (773) 282-7000 |
| NPI Number | 1144456310 |
|---|---|
| Provider Enumeration Date | 06/02/2009 |
| Last Update Date | 06/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144456310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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