| Ellen M Hennecke Dosc | |
|
3927 W 95th St Evergreen Park IL 60805-1903 | |
| (708) 799-8440 | |
| Not Available |
| Full Name | Ellen M Hennecke Dosc |
|---|---|
| Speciality | Family Medicine |
| Location | 3927 W 95th St, Evergreen Park, Illinois |
| Authorized Official Name and Position | Kim Wylie (OFFICE MANAGER) |
| Authorized Official Contact | 7087998440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen M Hennecke Dosc 18141 Dixie Hwy Ste 107 Homewood IL 60430-2241 Ph: () - | Ellen M Hennecke Dosc 3927 W 95th St Evergreen Park IL 60805-1903 Ph: (708) 799-8440 |
| NPI Number | 1780885657 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780885657 | NPI | - | NPPES |
| 01628066 | Other | IL | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
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Stellar Health Experts, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9730 S Western Ave Ste 234, Evergreen Park, IL 60805 Phone: 708-703-8287 | |
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