Amg Med Sc | |
850 W Irving Park Rd Chicago IL 60613-3077 | |
(773) 975-6822 | |
(773) 524-7480 |
Full Name | Amg Med Sc |
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Speciality | Family Medicine |
Location | 850 W Irving Park Rd, Chicago, Illinois |
Authorized Official Name and Position | Aaron Greenspan (MEDICAL DIRECTOR) |
Authorized Official Contact | 7739756822 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amg Med Sc Po Box 5979 Buffalo Grove IL 60089-5979 Ph: (847) 897-5995 | Amg Med Sc 850 W Irving Park Rd Chicago IL 60613-3077 Ph: (773) 975-6822 |
NPI Number | 1376735779 |
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Provider Enumeration Date | 08/10/2007 |
Last Update Date | 08/10/2007 |
Medicare PECOS PAC ID | 2062552458 |
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Medicare Enrollment ID | O20091215000701 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376735779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Illinois) | Primary |
Provider Name | Aaron Greenspan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033297023 PECOS PAC ID: 7810963535 Enrollment ID: I20040903000593 |
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