| Bloomingdale Family Practice S.c | |
|
245 S Gary Ave Ste 204 Bloomingdale IL 60108-2218 | |
| (630) 894-7505 | |
| (630) 894-6552 |
| Full Name | Bloomingdale Family Practice S.c |
|---|---|
| Speciality | Family Medicine |
| Location | 245 S Gary Ave Ste 204, Bloomingdale, Illinois |
| Authorized Official Name and Position | Mary Bizios (PHYSICIAN) |
| Authorized Official Contact | 6308947505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomingdale Family Practice S.c 245 S Gary Ave Ste 204 Bloomingdale IL 60108-2218 Ph: (630) 894-7505 | Bloomingdale Family Practice S.c 245 S Gary Ave Ste 204 Bloomingdale IL 60108-2218 Ph: (630) 894-7505 |
| NPI Number | 1942482146 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 03/17/2008 |
| Medicare PECOS PAC ID | 9830276161 |
|---|---|
| Medicare Enrollment ID | O20080410000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942482146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Provider Name | Mary Bizios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437209178 PECOS PAC ID: 0143304261 Enrollment ID: I20080228000290 |
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