Asap Wellness Center, Sc | |
730 S Dearborn St Chicago IL 60605-1838 | |
(312) 588-1104 | |
Not Available |
Full Name | Asap Wellness Center, Sc |
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Speciality | Family Medicine |
Location | 730 S Dearborn St, Chicago, Illinois |
Authorized Official Name and Position | Akavut Suesakul (OWNER) |
Authorized Official Contact | 3125327472 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Asap Wellness Center, Sc 730 S Dearborn St Chicago IL 60605-1838 Ph: (312) 588-1104 | Asap Wellness Center, Sc 730 S Dearborn St Chicago IL 60605-1838 Ph: (312) 588-1104 |
NPI Number | 1114362456 |
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Provider Enumeration Date | 04/30/2013 |
Last Update Date | 10/15/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114362456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
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