| Morton East Adolescent Health Center (ffs) | |
|
2423 S Austin Blvd Cicero IL 60804-2616 | |
| (708) 656-1130 | |
| Not Available |
| Full Name | Morton East Adolescent Health Center (ffs) |
|---|---|
| Speciality | Family Medicine |
| Location | 2423 S Austin Blvd, Cicero, Illinois |
| Authorized Official Name and Position | Scott Andrle (DIRECTOR OF MANAGED CARE OPERATIONS) |
| Authorized Official Contact | 3128644649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morton East Adolescent Health Center (ffs) 1900 W Polk St Rm 220c Chicago IL 60612-3723 Ph: () - | Morton East Adolescent Health Center (ffs) 2423 S Austin Blvd Cicero IL 60804-2616 Ph: (708) 656-1130 |
| NPI Number | 1457982449 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457982449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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