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Contact Information

ISIDRO CARDONA, MED.,CADC.,NCRS
2230 N 77TH AVE
ELMWOOD PARK, IL60707-3014
 Phone: 708-452-0865
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ISIDRO CARDONA · (Male)

NPI Number 1760507156
Status Active
Credentials MED.,CADC.,NCRS
Entity Individual
Enumeration date 03/21/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 17651
  • IL License # 24499
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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