Maternal and Child Medical Care, S.c

NPI #1912203209 in Addison, Illinois

Provider Information

NPI Number: 1912203209
Entity Type: Organization
Organization Name: Maternal and Child Medical Care, S.c
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Feb 3, 2011
Last Updated: Feb 3, 2011

Practice Location

Address: 2055 W ARMY TRAIL RD
Address 2: SUITE 104
City: Addison
State: Illinois
ZIP Code: 60101-1478
Phone: (847) 650-1452

Authorized Official

Name: DR. ORAWAN SUKAVACHANA, MD
Title: PRESIDENT/CEO
Phone: (847) 650-1452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Obstetrics & Gynecology	207V00000X	Primary

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