Marymina Respiratory Medicine, LLC
NPI #1083851174 in Washington, Illinois
Provider Information
- NPI Number
- 1083851174
- Entity Type
- Organization
- Organization Name
- Marymina Respiratory Medicine, LLC
- Primary Specialty
- Internal Medicine - Pulmonary Disease
- Enumeration Date
- Jan 12, 2009
- Last Updated
- Jul 10, 2011
Practice Location
- Address
- 1740 SYCAMORE
- City
- Washington
- State
- Illinois
- ZIP Code
- 61571-9799
- Phone
- (309) 360-4879
Authorized Official
- Name
- DR. OSSAMA IKLADIOS, M.D.
- Title
- PRESIDENT
- Phone
- (309) 360-4879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
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