| Eastside Healthcare Of Chicago Heights Sc | |
|
2555 Lincoln Hwy Suite 206 Olympia Fields IL 60461-1936 | |
| (708) 757-3383 | |
| (708) 757-3386 |
| Full Name | Eastside Healthcare Of Chicago Heights Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 2555 Lincoln Hwy, Olympia Fields, Illinois |
| Authorized Official Name and Position | Robert C Watkins Jr (PRESIDENT) |
| Authorized Official Contact | 7087573383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Healthcare Of Chicago Heights Sc 2555 Lincoln Hwy Suite 206 Olympia Fields IL 60461-1936 Ph: (708) 757-3383 | Eastside Healthcare Of Chicago Heights Sc 2555 Lincoln Hwy Suite 206 Olympia Fields IL 60461-1936 Ph: (708) 757-3383 |
| NPI Number | 1922119072 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 12/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922119072 | NPI | - | NPPES |
| 036045969 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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