|
| |
|
12935 Gregory St Blue Island IL 60406-2428 | |
| (708) 597-2000 | |
| (708) 824-4505 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 12935 Gregory St, Blue Island, Illinois |
| Authorized Official Name and Position | Kathleen M Wcislo (PHYSICIAN DETAILER) |
| Authorized Official Contact | 7085972000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
P.o. Box 2753 Bedford Park IL 60499-2753 Ph: (708) 597-2000 | 12935 Gregory St Blue Island IL 60406-2428 Ph: (708) 597-2000 |
| NPI Number | 1225286412 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 05/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225286412 | NPI | - | NPPES |
| 0001628587 | Other | IL | BC/BS |
Access Community Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13000 Maple Ave, Blue Island, IL 60406 Phone: 708-385-6100 | |
Beloved Community Family Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2338 New St, Blue Island, IL 60406 Phone: 708-577-5060 Fax: 708-577-5064 | |
Usacs Integrated Acute Care Services Of Illinois, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 330-493-4443 | |
Sa Padua Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 York St, Suite 2c, Blue Island, IL 60406 Phone: 708-388-4902 |