P D Medical, S.c.

NPI #1124129697 in Oak Lawn, Illinois

Provider Information

NPI Number: 1124129697
Entity Type: Organization
Organization Name: P D Medical, S.c.
Primary Specialty: Family Medicine
Enumeration Date: Sep 26, 2006
Last Updated: May 29, 2008

Practice Location

Address: 4201 W 95TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2615
Phone: (708) 636-1466

Authorized Official

Name: DR. PETER B. DRAGISIC, M.D.
Title: CO-OWNER
Phone: (708) 636-1466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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