| Ann Medical Center Sc | |
|
4647 Lincoln Hwy Matteson IL 60443-2319 | |
| (708) 747-7720 | |
| (708) 915-7239 |
| Full Name | Ann Medical Center Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 4647 Lincoln Hwy, Matteson, Illinois |
| Authorized Official Name and Position | Anjum Hameeduddin (OWNER) |
| Authorized Official Contact | 7087477720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Medical Center Sc Po Box 250 Matteson IL 60443-0250 Ph: (708) 747-5850 | Ann Medical Center Sc 4647 Lincoln Hwy Matteson IL 60443-2319 Ph: (708) 747-7720 |
| NPI Number | 1366483729 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 11/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366483729 | NPI | - | NPPES |
| 036051648 | Medicaid | IL | |
| 1632848 | Other | IL | BCBSIL GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-051648 (Illinois) | Primary |
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