Ovadia, Marc J
Ovadia, Marc J is an individual health care provider with primary practice located at 1875 Dempster St Ste 605 , Park Ridge IL 60068-1168. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Ovadia, Marc J can be contacted via phone (773) 612-4184.Contact Information
Primary practice address
1875 Dempster St Ste 605
Park Ridge IL 60068-1168
Phone: (773) 612-4184
Fax: (847) 692-6755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 170004 | New York |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 036103080 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036103080 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 036103080 | Illinois |
Profile Details
| NPI number | 1356342398 |
|---|---|
| LBN Legal business name | Ovadia, Marc J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2005 |
| Last updated | Jun 9th, 2022 - about 2 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 | 1356342398 | NPPES |
| Illinois | MEDICAID | 036-103080-3 | |
| Illinois | MEDICAID | 036103080 |
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