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Adelaide Violet Packard, MD
Obstetrics & Gynecology Physician in Tinley Park, Illinois
NPI 1437512811

Adelaide Violet Packard is a Obstetrics & Gynecology Physician based in Chicago, IL. Adelaide Violet Packard practices in Tinley Park, IL and has the professional credentials of MD. The NPI Number for Adelaide Violet Packard is 1437512811 and holds a License No. DR.0064015 (Illinois).

The current practice location address for Adelaide Violet Packard is 17495 La Grange Rd, Tinley Park, IL and can be reached out via phone at 708-226-7000 and via fax at 708-226-7173.

Location: 17495 La Grange Rd, Tinley Park, IL, 60677-1260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437512811
Provider Name
Adelaide Violet Packard
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
17495 La Grange Rd, Tinley Park, IL, 60677-1260
Phone Number
708-226-7000
Fax Number
708-226-7173
Provider Enumeration Date
04/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17495 La Grange Rd
City
Tinley Park
State
Illinois
Zip
60487-7581
Phone Number
708-226-7000
Fax Number
708-226-7173
person
Provider Business Mailing Address Details
Address
17495 La Grange Rd
City
Tinley Park
State
Illinois
Zip
60487-7581
Phone Number
708-226-7000
Fax Number
708-226-7173
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
036-163003 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
(Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DR.0064015 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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