Central Medical Associates, S.c. | |
500 W Central Rd Suite 106 Mt Prospect IL 60056-2347 | |
(847) 259-3383 | |
Not Available |
Full Name | Central Medical Associates, S.c. |
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Speciality | Internal Medicine |
Location | 500 W Central Rd, Mt Prospect, Illinois |
Authorized Official Name and Position | Elizabeth Carazo (MEDICAL DIRECTOR) |
Authorized Official Contact | 8472593383 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Medical Associates, S.c. 500 W Central Rd Suite 106 Mt Prospect IL 60056-2347 Ph: (847) 259-3383 | Central Medical Associates, S.c. 500 W Central Rd Suite 106 Mt Prospect IL 60056-2347 Ph: (847) 259-3383 |
NPI Number | 1346460292 |
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Provider Enumeration Date | 04/25/2007 |
Last Update Date | 09/03/2008 |
Medicare PECOS PAC ID | 0840396610 |
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Medicare Enrollment ID | O20070511000128 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346460292 | NPI | - | NPPES |
0002207312 | Other | IL | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036082737 (Illinois) | Primary |
Provider Name | Elizabeth Carazo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922140300 PECOS PAC ID: 3476573726 Enrollment ID: I20051201000079 |
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