| New Age Services Corporation | |
|
1330 South Kostner Ave. Chicago IL 60623 | |
| (773) 542-1150 | |
| (773) 542-1175 |
| Full Name | New Age Services Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1330 South Kostner Ave., Chicago, Illinois |
| Authorized Official Name and Position | Ulysses Jerome Jefferson (PATIENT REVENUE COORDINATOR) |
| Authorized Official Contact | 7735421150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Age Services Corporation 1330 South Kostner Ave. Chicago IL 60623 Ph: (773) 542-1150 | New Age Services Corporation 1330 South Kostner Ave. Chicago IL 60623 Ph: (773) 542-1150 |
| NPI Number | 1023286770 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 12/20/2022 |
| Certification Date | 04/26/2022 |
| Medicare PECOS PAC ID | 7517396732 |
|---|---|
| Medicare Enrollment ID | O20200408003876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023286770 | NPI | - | NPPES |
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