| Smg Ashland Office | |
|
6224 S Ashland Ave Chicago IL 60636-2324 | |
| (773) 778-8600 | |
| Not Available |
| Full Name | Smg Ashland Office |
|---|---|
| Speciality | Internal Medicine |
| Location | 6224 S Ashland Ave, Chicago, Illinois |
| Authorized Official Name and Position | Edward Carne (PRESIDENT OF SINAI MEDICAL GROUP) |
| Authorized Official Contact | 7732575771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smg Ashland Office 26460 Network Pl Chicago IL 60673-1264 Ph: (773) 542-2000 | Smg Ashland Office 6224 S Ashland Ave Chicago IL 60636-2324 Ph: (773) 778-8600 |
| NPI Number | 1104142728 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 05/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104142728 | NPI | - | NPPES |
| 0001982657854 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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