| Dr. Earnest Webb, Pc | |
|
849 Maple Ave Suite 903 Homewood IL 60430-2066 | |
| (708) 799-5862 | |
| (708) 799-0138 |
| Full Name | Dr. Earnest Webb, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 849 Maple Ave, Homewood, Illinois |
| Authorized Official Name and Position | Earnest Webb (PRESIDENT) |
| Authorized Official Contact | 7087995862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Earnest Webb, Pc 19516 Northwinds Dr Lynwood IL 60411-8660 Ph: (708) 251-5118 | Dr. Earnest Webb, Pc 849 Maple Ave Suite 903 Homewood IL 60430-2066 Ph: (708) 799-5862 |
| NPI Number | 1669602744 |
|---|---|
| Provider Enumeration Date | 07/22/2009 |
| Last Update Date | 12/05/2011 |
| Medicare PECOS PAC ID | 6002082641 |
|---|---|
| Medicare Enrollment ID | O20120103000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669602744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Earnest Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346370418 PECOS PAC ID: 7618014168 Enrollment ID: I20120103000064 |
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