| Creticos Id Associates Sc | |
|
836 W Wellington Ave Chicago IL 60657-5147 | |
| (773) 296-7039 | |
| (773) 296-7909 |
| Full Name | Creticos Id Associates Sc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 836 W Wellington Ave, Chicago, Illinois |
| Authorized Official Name and Position | Catherine M Creticos (PRESIDENT) |
| Authorized Official Contact | 7732967039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creticos Id Associates Sc 777 Oakmont Ln Suite 1600 Westmont IL 60559-5511 Ph: (630) 789-2550 | Creticos Id Associates Sc 836 W Wellington Ave Chicago IL 60657-5147 Ph: (773) 296-7039 |
| NPI Number | 1538105390 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538105390 | NPI | - | NPPES |
| DE8857 | Other | IL | RAILROAD MEDICARE |
| 141016 | Other | IL | ADVOCATE HLTH PARTNERS ID |
| 01635822 | Other | IL | BCBS PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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