Provider Demographics
NPI:1851732176
Name:APG MEDICAL, S.C.
Entity Type:Organization
Organization Name:APG MEDICAL, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBRAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-477-3000
Mailing Address - Street 1:328 S JEFFERSON ST
Mailing Address - Street 2:STE 775
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-5614
Mailing Address - Country:US
Mailing Address - Phone:312-477-3000
Mailing Address - Fax:
Practice Address - Street 1:328 S JEFFERSON ST
Practice Address - Street 2:STE 775
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-5614
Practice Address - Country:US
Practice Address - Phone:312-477-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036098947208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty