| |
580 E Lake Street Addison IL 60101-1646 | |
(630) 833-5838 | |
(630) 833-3266 |
Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 580 E Lake Street, Addison, Illinois |
Authorized Official Name and Position | Sophia Corrales (BILLING DPT) |
Authorized Official Contact | 6308335838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
580 E Lake St Addison IL 60101-1646 Ph: (630) 833-5838 | 580 E Lake Street Addison IL 60101-1646 Ph: (630) 833-5838 |
NPI Number | 1831281948 |
---|---|
Provider Enumeration Date | 09/28/2006 |
Last Update Date | 02/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831281948 | NPI | - | NPPES |
1632953 | Other | IL | BLUE CROSS/BLUE SHIELD |
1831140797 | Other | IL | IND NPI DULCE HUGO E MD. |
K21019 | Other | IL | IND MEDICARE DULCE HUGO E |
1306938170 | Other | IL | NPI GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Access Community Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 W Lake St, Addison, IL 60101 Phone: 773-257-6770 | |
Ricardo Martinez, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 W Army Trail Blvd, Addison, IL 60101 Phone: 630-458-9200 Fax: 630-458-8460 | |
Bozena Scigacz Medical Office S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28 W Lake St, Suite 2, Addison, IL 60101 Phone: 630-458-0688 Fax: 630-458-0698 | |