| Edgewater Satellite Senior Center | |
|
5917 N Broadway St Chicago IL 60660-3526 | |
| (312) 742-7502 | |
| Not Available |
| Full Name | Edgewater Satellite Senior Center |
|---|---|
| Speciality | Clinic/center |
| Location | 5917 N Broadway St, Chicago, Illinois |
| Authorized Official Name and Position | Joyce Gallagher (COMMISSIONER) |
| Authorized Official Contact | 3127445770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewater Satellite Senior Center 5917 N Broadway St Chicago IL 60660-3526 Ph: (312) 742-7502 | Edgewater Satellite Senior Center 5917 N Broadway St Chicago IL 60660-3526 Ph: (312) 742-7502 |
| NPI Number | 1306024559 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306024559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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