| American Indian Health Service Of Chicago Inc | |
|
4085 N Broadway Chicago IL 60613 | |
| (773) 883-9100 | |
| (773) 883-0005 |
| Full Name | American Indian Health Service Of Chicago Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4085 N Broadway, Chicago, Illinois |
| Authorized Official Name and Position | Roxanne Marie Lavallie-unabia (DIRECTOR) |
| Authorized Official Contact | 7738839100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Indian Health Service Of Chicago Inc 4326 W Montrose Ave Chicago IL 60641-2016 Ph: (773) 883-9100 | American Indian Health Service Of Chicago Inc 4085 N Broadway Chicago IL 60613 Ph: (773) 883-9100 |
| NPI Number | 1760572671 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 03/25/2020 |
| Medicare PECOS PAC ID | 8325026834 |
|---|---|
| Medicare Enrollment ID | O20040712000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760572671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Judith E Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326023037 PECOS PAC ID: 6103837026 Enrollment ID: I20060508000110 |
| Provider Name | Albert Mensah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598778144 PECOS PAC ID: 7012012214 Enrollment ID: I20070417000442 |
| Provider Name | Vonnise R Hussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902379621 PECOS PAC ID: 5698007805 Enrollment ID: I20191021002221 |
| Provider Name | Vanessa M Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831783802 PECOS PAC ID: 5294127767 Enrollment ID: I20220112001784 |
| Provider Name | Don Joseph Feeney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548485899 PECOS PAC ID: 7315325396 Enrollment ID: I20220602002895 |
| Provider Name | Valencia Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528421229 PECOS PAC ID: 2466829726 Enrollment ID: I20221031001612 |
| Provider Name | Se Yun Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205553021 PECOS PAC ID: 1850757840 Enrollment ID: I20230517002002 |
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 |