Search › Illinois › 208M00000X
Janardhan Mydam, M.D
NPI 1396024972 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3249 Oak Park Ave
Berwyn, IL 60402 - Phone
- (708) 783-2226
- Organisation at this address
- Walgreen Co
Obhg Illinois Sc
Macneal Hospital
Mn Anesthesia Llc
Wsa Anesthesia LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 223
Additional practice sites
- 3901 Beaubien St, Detroit, MI
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 208000000X
2080N0001X
208000000X
208000000X - Licence states on file
- IL, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois