Provider Demographics
NPI:1790183242
Name:BIOMEDICAL CONCEPTS
Entity Type:Organization
Organization Name:BIOMEDICAL CONCEPTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:WANES
Authorized Official - Last Name:BEDROSSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-445-9691
Mailing Address - Street 1:715 LAKE ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1422
Mailing Address - Country:US
Mailing Address - Phone:708-445-9691
Mailing Address - Fax:708-445-9692
Practice Address - Street 1:715 LAKE ST
Practice Address - Street 2:SUITE 500
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1422
Practice Address - Country:US
Practice Address - Phone:708-445-9691
Practice Address - Fax:708-445-9692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036096740251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management