| Archer Family Medical Group, Llc | |
|
6649 W Archer Ave Chicago IL 60638-2419 | |
| (773) 586-2100 | |
| Not Available |
| Full Name | Archer Family Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6649 W Archer Ave, Chicago, Illinois |
| Authorized Official Name and Position | David B. Levy (PRESIDENT) |
| Authorized Official Contact | 7735862100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archer Family Medical Group, Llc 6649 W Archer Ave Chicago IL 60638-2419 Ph: (773) 586-2100 | Archer Family Medical Group, Llc 6649 W Archer Ave Chicago IL 60638-2419 Ph: (773) 586-2100 |
| NPI Number | 1508817727 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2264405679 |
|---|---|
| Medicare Enrollment ID | O20040814000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508817727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David B Levy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437101714 PECOS PAC ID: 6709859119 Enrollment ID: I20040820000819 |
| Provider Name | Jolene M Quinones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750624581 PECOS PAC ID: 5395985162 Enrollment ID: I20130628000457 |
| Provider Name | Magdaline V Piatek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588899454 PECOS PAC ID: 9133342371 Enrollment ID: I20161209000133 |
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