Provider Demographics
NPI:1851760839
Name:ALLIANCE LABORIST GROUP S.C.
Entity Type:Organization
Organization Name:ALLIANCE LABORIST GROUP S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SEERAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-788-2038
Mailing Address - Street 1:3114 OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-3031
Mailing Address - Country:US
Mailing Address - Phone:708-788-2038
Mailing Address - Fax:
Practice Address - Street 1:3114 OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-3031
Practice Address - Country:US
Practice Address - Phone:708-788-2038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-19
Last Update Date:2015-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty