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NPI Code Detail

MEDICARE: AD MEDICAL LTD.

MEDICARE: AD MEDICAL LTD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal Medicine
2173000000XLegal Medicine036-077694IL

General Provider Information

NPI Number : 1033164025
Entity Type Code : Organization
Provider Name (Legal Business Name) : AD MEDICAL LTD.
Provider Business Mailing Address
First Line : 6422 W. BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-3921
Country : US
Telephone Number : 773-481-2504
Fax Number : 773-481-2516
Provider Business Practice Location Address
First Line : 6422 W. BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-3921
Country : US
Telephone Number : 773-481-2504
Fax Number : 773-481-2516
Authorized Official
Title or Position : CEO/ PRESIDENT
Name : ALEKSY DOBRADIN
Credential : MD
Telephone Number : 773-481-2509
Provider Enumeration Date : 05/24/2006
Last Update Date : 07/14/2009

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Directions to “AD MEDICAL LTD. ” Practice Location

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