| Cedar-crosse Research Center,sc | |
|
800 S Wells St Ste M15 Chicago IL 60607-4559 | |
| (312) 431-6780 | |
| (312) 431-7959 |
| Full Name | Cedar-crosse Research Center,sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 S Wells St Ste M15, Chicago, Illinois |
| Authorized Official Name and Position | Danny H Sugimoto (PRIMARY PHYSICIAN) |
| Authorized Official Contact | 3124316780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar-crosse Research Center,sc 800 S .wells, St. Ste M15 Chicago IL 60607-4559 Ph: (312) 431-6780 | Cedar-crosse Research Center,sc 800 S Wells St Ste M15 Chicago IL 60607-4559 Ph: (312) 431-6780 |
| NPI Number | 1457432551 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/13/2008 |
| Medicare PECOS PAC ID | 1557436524 |
|---|---|
| Medicare Enrollment ID | O20080826000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457432551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036070892 (Illinois) | Primary |
| Provider Name | Danny H Sugimoto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679661821 PECOS PAC ID: 2860567831 Enrollment ID: I20080826000736 |
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