| Charm Development | |
|
403 W Lincoln Hwy Suite 25 Chicago Heights IL 60411-2479 | |
| (708) 754-8522 | |
| (708) 754-8622 |
| Full Name | Charm Development |
|---|---|
| Speciality | Family Medicine |
| Location | 403 W Lincoln Hwy, Chicago Heights, Illinois |
| Authorized Official Name and Position | Donald M Pedro (PHYSICIAN) |
| Authorized Official Contact | 7087548522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charm Development 403 W Lincoln Hwy Suite 25 Chicago Heights IL 60411-2479 Ph: (708) 754-8522 | Charm Development 403 W Lincoln Hwy Suite 25 Chicago Heights IL 60411-2479 Ph: (708) 754-8522 |
| NPI Number | 1700898954 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700898954 | NPI | - | NPPES |
| 0360385802 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0360385802 (Illinois) | Primary |
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