| Cano Health Illinois, Pllc | |
|
3650 W Armitage Ave Chicago IL 60647-3611 | |
| (855) 226-6633 | |
| Not Available |
| Full Name | Cano Health Illinois, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 3650 W Armitage Ave, Chicago, Illinois |
| Authorized Official Name and Position | Marlow Blas Hernandez (CEO) |
| Authorized Official Contact | 9545149360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cano Health Illinois, Pllc 9725 Nw 117th Ave Ste 200 Medley FL 33178-1260 Ph: (954) 514-9360 | Cano Health Illinois, Pllc 3650 W Armitage Ave Chicago IL 60647-3611 Ph: (855) 226-6633 |
| NPI Number | 1558930537 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 11/12/2021 |
| Medicare PECOS PAC ID | 4486059573 |
|---|---|
| Medicare Enrollment ID | O20210827001812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558930537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Luis J Angarita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497898589 PECOS PAC ID: 2062407646 Enrollment ID: I20040415000185 |
| Provider Name | Richard D Finegold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770564122 PECOS PAC ID: 0446247423 Enrollment ID: I20040430000021 |
| Provider Name | David B Levy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437101714 PECOS PAC ID: 6709859119 Enrollment ID: I20040820000819 |
| Provider Name | Oscar Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427046648 PECOS PAC ID: 7719903962 Enrollment ID: I20051018000542 |
| Provider Name | Jorge A Cavero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093703209 PECOS PAC ID: 8325064678 Enrollment ID: I20080122000754 |
| Provider Name | Guadalupe Bustamante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982692158 PECOS PAC ID: 9234328188 Enrollment ID: I20110107000973 |
| 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 |
| Provider Name | Melissa Litwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851998553 PECOS PAC ID: 1557756640 Enrollment ID: I20220329000590 |
| Provider Name | Laura S Tse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467951483 PECOS PAC ID: 5193087708 Enrollment ID: I20220329000715 |
| Provider Name | Joshua Eassa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467982108 PECOS PAC ID: 7214359876 Enrollment ID: I20220729001403 |
| Provider Name | Ahmid Dredar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174834931 PECOS PAC ID: 6103051305 Enrollment ID: I20220826001517 |
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