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700 25th Ave Bellwood IL 60104-1908 | |
(708) 547-2667 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 700 25th Ave, Bellwood, Illinois |
Authorized Official Name and Position | Deborah Sue Coolidge (FINANCIAL ANALYSIS SENIOR MANAGER) |
Authorized Official Contact | 6232771170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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700 25th Ave Bellwood IL 60104-1908 Ph: (708) 547-2667 | 700 25th Ave Bellwood IL 60104-1908 Ph: (708) 547-2667 |
NPI Number | 1710510235 |
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Provider Enumeration Date | 02/13/2020 |
Last Update Date | 05/03/2021 |
Identifier | Type | State | Issuer |
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1710510235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Advanced Occupational Medicine Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2615 Harrison St, Bellwood, IL 60104 Phone: 708-493-0299 | |