| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 19162 S 88th Ave., Mokena, Illinois |
| Authorized Official Name and Position | Rebecca J Crainsmith (OWNER) |
| Authorized Official Contact | 7085674796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
19162 S 88th Ave Mokena IL 60448 Ph: (708) 567-4796 | 19162 S 88th Ave. Mokena IL 60448 Ph: (708) 567-4796 |
| NPI Number | 1295947885 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295947885 | NPI | - | NPPES |
| 09932090 | Other | IL | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Illinois) | Primary |
Forefront Adult & Pediatric Care, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19621 La Grange Rd, Mokena, IL 60448 Phone: 708-478-8380 Fax: 708-478-3036 | |
Mh Health Care Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10844 187th St, Mokena, IL 60448 Phone: 708-326-6270 | |
Hedges Clinic Service Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21205 Owens Rd Ste 3, Mokena, IL 60448 Phone: 815-469-2123 Fax: 815-469-2149 | |
A Lota Healthcare Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10260 191st St Ste 100, Mokena, IL 60448 Phone: 708-572-7669 Fax: 708-469-4358 | |