Anumi Medical Center | |
234 W Cermak Rd 1st Floor Chicago IL 60616-4879 | |
(312) 808-0880 | |
(312) 808-0840 |
Full Name | Anumi Medical Center |
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Speciality | Clinic/Center |
Location | 234 W Cermak Rd, Chicago, Illinois |
Authorized Official Name and Position | Michelle Zeng (PHYSICIAN) |
Authorized Official Contact | 3128080880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Anumi Medical Center Po Box 167378 Chicago IL 60616-7378 Ph: (312) 808-0880 | Anumi Medical Center 234 W Cermak Rd 1st Floor Chicago IL 60616-4879 Ph: (312) 808-0880 |
NPI Number | 1619204625 |
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Provider Enumeration Date | 11/11/2009 |
Last Update Date | 11/07/2012 |
Medicare PECOS PAC ID | 4082749817 |
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Medicare Enrollment ID | O20100318000888 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619204625 | NPI | - | NPPES |
036123779 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 036123779 (Illinois) | Primary |
Provider Name | Michelle Y Zeng |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255665444 PECOS PAC ID: 1355476086 Enrollment ID: I20100318000912 |
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