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:
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Health care specialties

SpecialtyCodeLicense #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 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 1356342398 NPPES
Illinois MEDICAID 036-103080-3
Illinois MEDICAID 036103080

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