| Associated Medical Centers Of Illinois, Ltd. | |
|
2656 W Montrose Ste 100 Chicago IL 60618 | |
| (773) 267-1304 | |
| (773) 267-1307 |
| Full Name | Associated Medical Centers Of Illinois, Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 2656 W Montrose, Chicago, Illinois |
| Authorized Official Name and Position | Michael T Foreman (PRESIDENT) |
| Authorized Official Contact | 7739477746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Medical Centers Of Illinois, Ltd. 2656 W Montrose Ste 100 Chicago IL 60618 Ph: (773) 267-1304 | Associated Medical Centers Of Illinois, Ltd. 2656 W Montrose Ste 100 Chicago IL 60618 Ph: (773) 267-1304 |
| NPI Number | 1518180686 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 04/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518180686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042007088 (Illinois) | Primary |
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