| Alsip Integrated Medical Center S C | |
|
9721 165th St Ste 21 Orland Park IL 60467-5657 | |
| (708) 388-7500 | |
| (708) 942-8102 |
| Full Name | Alsip Integrated Medical Center S C |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9721 165th St, Orland Park, Illinois |
| Authorized Official Name and Position | Becky Arlene Boros (CLINIC DIRECTOR OWNER) |
| Authorized Official Contact | 7083887500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alsip Integrated Medical Center S C 9721 165th St Ste 21 Orland Park IL 60467-5657 Ph: (708) 388-7500 | Alsip Integrated Medical Center S C 9721 165th St Ste 21 Orland Park IL 60467-5657 Ph: (708) 388-7500 |
| NPI Number | 1609809565 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609809565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 042617005 (* (Not Available)) | Primary |
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