| 365 On Call Llc | |
|
3344 W Peterson Ave Ste 102 Chicago IL 60659-3529 | |
| (773) 831-1690 | |
| Not Available |
| Full Name | 365 On Call Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3344 W Peterson Ave Ste 102, Chicago, Illinois |
| Authorized Official Name and Position | Reoneil Oliva (ADMINISTRATOR) |
| Authorized Official Contact | 7738311690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 365 On Call Llc 3344 W Peterson Ave Ste 102 Chicago IL 60659-3529 Ph: () - | 365 On Call Llc 3344 W Peterson Ave Ste 102 Chicago IL 60659-3529 Ph: (773) 831-1690 |
| NPI Number | 1619493525 |
|---|---|
| Provider Enumeration Date | 08/22/2017 |
| Last Update Date | 05/03/2019 |
| Medicare PECOS PAC ID | 1052687779 |
|---|---|
| Medicare Enrollment ID | O20171025001428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619493525 | NPI | - | NPPES |
| Provider Name | Olusoji A Peter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225018203 PECOS PAC ID: 2264514561 Enrollment ID: I20080726000013 |
| Provider Name | Patricia Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750536223 PECOS PAC ID: 1557596038 Enrollment ID: I20150602000262 |
| Provider Name | Doran M Duke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053671479 PECOS PAC ID: 3375856537 Enrollment ID: I20150716001610 |
| Provider Name | Jamilah F Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154796605 PECOS PAC ID: 7113223769 Enrollment ID: I20160309000240 |
| Provider Name | Teshica Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114374139 PECOS PAC ID: 7517251606 Enrollment ID: I20160812000605 |
| Provider Name | Amit Gandhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548711971 PECOS PAC ID: 1850679267 Enrollment ID: I20161104001108 |
| Provider Name | Juliet Orji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245775147 PECOS PAC ID: 5395027486 Enrollment ID: I20170125001935 |
| Provider Name | Precious Bianca Levon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639675432 PECOS PAC ID: 2860737939 Enrollment ID: I20181218000871 |
| Provider Name | Abolore Gloria Bakare-ademosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902360365 PECOS PAC ID: 2365784600 Enrollment ID: I20190507000503 |
| Provider Name | Latrisha T Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891265898 PECOS PAC ID: 5193068138 Enrollment ID: I20190515001621 |
| Provider Name | Hiren Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912570169 PECOS PAC ID: 0244620359 Enrollment ID: I20211203002389 |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 | |
A Kavaliunas Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 | |
Doc Cam Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 | |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 | |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 | |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 | |
Premier Primary Care And Alternative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 E 47th Street, Bldg 2 Suite B, Chicago, IL 60653 Phone: 773-891-2890 Fax: 773-891-4107 |