Dr. Joseph's Medical Services S.c. | |
5857 S Archer Ave Unit B Chicago IL 60638-1619 | |
(708) 496-8400 | |
(708) 496-8416 |
Full Name | Dr. Joseph's Medical Services S.c. |
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Speciality | Clinic/Center |
Location | 5857 S Archer Ave Unit B, Chicago, Illinois |
Authorized Official Name and Position | Jozef Rzucidlo (OWNER) |
Authorized Official Contact | 7084968400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr. Joseph's Medical Services S.c. 5857 S Archer Ave Unit B Chicago IL 60638-1619 Ph: (708) 496-8400 | Dr. Joseph's Medical Services S.c. 5857 S Archer Ave Unit B Chicago IL 60638-1619 Ph: (708) 496-8400 |
NPI Number | 1457528291 |
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Provider Enumeration Date | 05/12/2008 |
Last Update Date | 12/07/2021 |
Medicare PECOS PAC ID | 3173699535 |
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Medicare Enrollment ID | O20080909000142 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457528291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jozef J Rzucidlo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194829408 PECOS PAC ID: 5193891638 Enrollment ID: I20080905000582 |
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