| Advanced Primary Care, Sc | |
|
9201 Waukegan Rd Morton Grove IL 60053-2102 | |
| (847) 626-1600 | |
| (847) 626-1650 |
| Full Name | Advanced Primary Care, Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 9201 Waukegan Rd, Morton Grove, Illinois |
| Authorized Official Name and Position | George Brodsky (PRESIDENT) |
| Authorized Official Contact | 8476261600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Primary Care, Sc 9201 Waukegan Rd Morton Grove IL 60053-2102 Ph: (847) 626-1600 | Advanced Primary Care, Sc 9201 Waukegan Rd Morton Grove IL 60053-2102 Ph: (847) 626-1600 |
| NPI Number | 1699958207 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 08/30/2021 |
| Medicare PECOS PAC ID | 3971588526 |
|---|---|
| Medicare Enrollment ID | O20040619000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699958207 | NPI | - | NPPES |
| 036104522 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| Provider Name | George Brodsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417928714 PECOS PAC ID: 4284619784 Enrollment ID: I20040621000071 |
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