Provider Demographics
NPI:1972793164
Name:EP CONSULTATION LTD
Entity type:Organization
Organization Name:EP CONSULTATION LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:J
Authorized Official - Last Name:OVADIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-612-4184
Mailing Address - Street 1:PO BOX 537
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068
Mailing Address - Country:US
Mailing Address - Phone:847-823-0843
Mailing Address - Fax:847-823-0853
Practice Address - Street 1:1875 DEMPSTER PARK RIDGE IL 60068
Practice Address - Street 2:SUITE 605 PARKSIDE BUILDING
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1143
Practice Address - Country:US
Practice Address - Phone:847-823-0843
Practice Address - Fax:847-692-6755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036103080174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty