Wesley Gibbert, | |
4747 N Kedzie Ave, Chicago, IL 60625-4420 | |
(312) 666-3494 | |
Not Available |
Full Name | Wesley Gibbert |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 4747 N Kedzie Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255862157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036152615 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Erie Family Health Center Inc | 9537050422 | 127 |
Entity Name | Erie Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
Mailing Address | Practice Location Address |
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Wesley Gibbert, 2750 W North Ave, Chicago, IL 60647-5247 Ph: (312) 666-3494 | Wesley Gibbert, 4747 N Kedzie Ave, Chicago, IL 60625-4420 Ph: (312) 666-3494 |
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Dr. Ernesto Estor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3525 W Peterson Ave, Suite 210, Chicago, IL 60659 Phone: 773-293-6671 Fax: 773-961-8102 | |
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