| Anchor Oak Park Medical | |
|
610 S Maple Ave Suite 3900 Oak Park IL 60304-1091 | |
| (708) 524-1674 | |
| Not Available |
| Full Name | Anchor Oak Park Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 610 S Maple Ave, Oak Park, Illinois |
| Authorized Official Name and Position | Theresa M Dabek (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7085241674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchor Oak Park Medical 610 S Maple Ave Suite 3900 Oak Park IL 60304-1091 Ph: (708) 524-1674 | Anchor Oak Park Medical 610 S Maple Ave Suite 3900 Oak Park IL 60304-1091 Ph: (708) 524-1674 |
| NPI Number | 1154370005 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 01/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154370005 | NPI | - | NPPES |
| 01623486 | Other | IL | BC GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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