Poladian, Antranik S
Poladian, Antranik S is an individual health care provider with primary practice located at 900 Jorie Blvd , Oak Brook IL 60523. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Poladian, Antranik S can be contacted via phone (630) 954-6700.Contact Information
Primary practice address
900 Jorie Blvd
Oak Brook IL 60523
Phone: (630) 954-6700
Fax: (963) 954-1555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-079591 | Illinois |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 036-079591 | Illinois |
Profile Details
| NPI number | 1447251160 |
|---|---|
| LBN Legal business name | Poladian, Antranik S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Sep 22nd, 2010 - about 14 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 | 1447251160 | NPPES |
| Illinois | MEDICAID | 036-079591-2 |
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