Dean S. Economos, Md, Sc | |
727 Grand Ave Ingleside IL 60041-9748 | |
(847) 973-9640 | |
(847) 973-9639 |
Full Name | Dean S. Economos, Md, Sc |
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Speciality | Family Medicine |
Location | 727 Grand Ave, Ingleside, Illinois |
Authorized Official Name and Position | Dean S Economos (PRESIDENT) |
Authorized Official Contact | 8479739640 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dean S. Economos, Md, Sc 727 Grand Ave Ingleside IL 60041-9748 Ph: (847) 973-9640 | Dean S. Economos, Md, Sc 727 Grand Ave Ingleside IL 60041-9748 Ph: (847) 973-9640 |
NPI Number | 1467628461 |
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Provider Enumeration Date | 04/30/2008 |
Last Update Date | 10/06/2008 |
Medicare PECOS PAC ID | 8921178047 |
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Medicare Enrollment ID | O20080602000447 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467628461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Dean S Economos |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720169758 PECOS PAC ID: 7214007335 Enrollment ID: I20080602000431 |
Provider Name | Donna Marie V Economos |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770709644 PECOS PAC ID: 8628148749 Enrollment ID: I20080602000480 |
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