Dr Edmund Walter Vizinas, MD | |
6918 W Archer Ave, 3 And 4, Chicago, IL 60638-2337 | |
(773) 229-9965 | |
(773) 229-9849 |
Full Name | Dr Edmund Walter Vizinas |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 6918 W Archer Ave, Chicago, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922178391 | NPI | - | NPPES |
CD7818 | Other | IL | MEDICARE RR |
1710102660 | Other | IL | MEDICARE ID-TYPE UNSPECIFIED |
363326542 | Other | IL | TRICARE |
1710102660 | Other | IL | BCBS |
036059443 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-159443 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Edmund Walter Vizinas, MD 6918 W Archer Ave, 3 And 4, Chicago, IL 60638-2337 Ph: (773) 229-9965 | Dr Edmund Walter Vizinas, MD 6918 W Archer Ave, 3 And 4, Chicago, IL 60638-2337 Ph: (773) 229-9965 |
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