Cardozo, Charmaine M

Cardozo, Charmaine M is an individual health care provider with primary practice located at 9830 Ridgeland Ave , Chicago Ridge IL 60415-2667. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Cardozo, Charmaine M can be contacted via phone (708) 636-8747.

Contact Information

Primary practice address
9830 Ridgeland Ave Chicago Ridge IL 60415-2667
Phone: (708) 636-8747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036-115658 Illinois

Profile Details

NPI number 1669506390
LBN Legal business name Cardozo, Charmaine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Feb 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669506390 NPPES
Illinois Other 036-115658 PROFESSIONAL

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