| Greater Chicago Medical Group, S.c. | |
|
8700 S Dante Ave Chicago IL 60619-7118 | |
| (773) 221-3900 | |
| (847) 352-0423 |
| Full Name | Greater Chicago Medical Group, S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 8700 S Dante Ave, Chicago, Illinois |
| Authorized Official Name and Position | Rita P Saldanha (PRESIDENT) |
| Authorized Official Contact | 7089873795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Chicago Medical Group, S.c. Po Box 68726 Schaumburg IL 60168-0726 Ph: (708) 987-3795 | Greater Chicago Medical Group, S.c. 8700 S Dante Ave Chicago IL 60619-7118 Ph: (773) 221-3900 |
| NPI Number | 1255560470 |
|---|---|
| Provider Enumeration Date | 07/09/2009 |
| Last Update Date | 10/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255560470 | NPI | - | NPPES |
| 64612247 | Other | IL | CORPORATE FILE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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