| Dacia Medical Professional Corporation | |
|
917 S Oak Park Ave Suite B Oak Park IL 60304-1950 | |
| (708) 358-1299 | |
| (708) 358-1418 |
| Full Name | Dacia Medical Professional Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 917 S Oak Park Ave, Oak Park, Illinois |
| Authorized Official Name and Position | Catalina Anca Grija (OWNER/PRESIDENT) |
| Authorized Official Contact | 7083581299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dacia Medical Professional Corporation 917 S Oak Park Ave Suite B Oak Park IL 60304-1950 Ph: (708) 358-1299 | Dacia Medical Professional Corporation 917 S Oak Park Ave Suite B Oak Park IL 60304-1950 Ph: (708) 358-1299 |
| NPI Number | 1154376234 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 10/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154376234 | NPI | - | NPPES |
| 036096835 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036096835 (Illinois) | Primary |
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