| Caplea Family Medicine | |
|
19624 Governors Hwy Suite 9 Flossmoor IL 60422-2077 | |
| (708) 647-9800 | |
| (708) 647-9800 |
| Full Name | Caplea Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 19624 Governors Hwy, Flossmoor, Illinois |
| Authorized Official Name and Position | Geoffrey O Caplea (OWNER) |
| Authorized Official Contact | 7086479800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caplea Family Medicine Po Box 699 Matteson IL 60443-0699 Ph: (708) 647-9800 | Caplea Family Medicine 19624 Governors Hwy Suite 9 Flossmoor IL 60422-2077 Ph: (708) 647-9800 |
| NPI Number | 1053365197 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 05/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053365197 | NPI | - | NPPES |
| 036106422 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-106422 (Illinois) | Primary |
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