Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Redouane Boumendjel, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1730349028

Dr. Redouane Boumendjel, MD is a Pathology in Chicago, Illinois. Qualified in 2000, 26 years ago. Practices with Midwest Diagnostic Pathology, SC, a 44-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

840 S Wood St Ste 130 Csn
Chicago, IL 60612
Phone: (312) 996-7250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 125051840 (IL)

Record details

NPI number1730349028
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2008
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021
Mailing address1775 Dempster St, Park Ridge, IL 60068-1143

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Midwest Diagnostic Pathology, S.C. — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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