Mkrdichian, Edward H
Mkrdichian, Edward H is an sole proprietor health care provider with primary practice located at 4501 N Winchester Ave 3Rd Fl, Chicago IL 60640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Mkrdichian, Edward H can be contacted via phone (773) 250-0500.Contact Information
Primary practice address
4501 N Winchester Ave 3Rd Fl
Chicago IL 60640
Phone: (773) 250-0500
Fax: (773) 250-0497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 036063585 | Illinois |
Profile Details
| NPI number | 1477521607 |
|---|---|
| LBN Legal business name | Mkrdichian, Edward H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Oct 31st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477521607 | NPPES |
| Illinois | MEDICAID | 0360635851 |
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