James Pedraza Jr, | |
4354 W 63rd St, Chicago, IL 60629-5039 | |
(773) 482-5800 | |
Not Available |
Full Name | James Pedraza Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 4354 W 63rd St, 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 |
---|---|---|---|
1649731910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LC0200X | Nurse Practitioner - Critical Care Medicine | STUDENT (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209019464 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Anesthesia And Pain Specialists Sc | 6204051899 | 13 |
Entity Name | Cepamerica Illinois Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
Entity Name | Midwest Anesthesia And Pain Specialists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558773754 PECOS PAC ID: 6204051899 Enrollment ID: O20140716001025 |
Mailing Address | Practice Location Address |
---|---|
James Pedraza Jr, 4354 W 63rd St, Chicago, IL 60629-5039 Ph: (773) 482-5800 | James Pedraza Jr, 4354 W 63rd St, Chicago, IL 60629-5039 Ph: (773) 482-5800 |
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