Cottage Grove Health Center (ffs) | |
1645 Cottage Grove Ave Ford Heights IL 60411-3818 | |
(708) 753-5800 | |
Not Available |
Full Name | Cottage Grove Health Center (ffs) |
---|---|
Speciality | Family Medicine |
Location | 1645 Cottage Grove Ave, Ford Heights, 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 |
---|---|
Cottage Grove Health Center (ffs) 1900 W Polk St Rm 220c Chicago IL 60612-3723 Ph: () - | Cottage Grove Health Center (ffs) 1645 Cottage Grove Ave Ford Heights IL 60411-3818 Ph: (708) 753-5800 |
NPI Number | 1427689413 |
---|---|
Provider Enumeration Date | 01/29/2020 |
Last Update Date | 03/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427689413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Cottage Grove Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1645 Cottage Grove Ave, Ford Heights, IL 60411 Phone: 708-753-5800 |