| Elmwood Park Immediate Health Care Center, Llc | |
|
2333 N. Harlem Ave Suite 100 Chicago IL 60707-2718 | |
| (773) 637-2333 | |
| (773) 637-4229 |
| Full Name | Elmwood Park Immediate Health Care Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2333 N. Harlem Ave, Chicago, Illinois |
| Authorized Official Name and Position | Joanna Brzostowska (COO) |
| Authorized Official Contact | 7736371700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmwood Park Immediate Health Care Center, Llc 2333 N. Harlem Ave. Suite 100 Chicago IL 60707-2718 Ph: (773) 637-2333 | Elmwood Park Immediate Health Care Center, Llc 2333 N. Harlem Ave Suite 100 Chicago IL 60707-2718 Ph: (773) 637-2333 |
| NPI Number | 1356396758 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 10/17/2014 |
| Medicare PECOS PAC ID | 2466440839 |
|---|---|
| Medicare Enrollment ID | O20040504000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356396758 | NPI | - | NPPES |
| 01634215 | Other | IL | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036112029 (Illinois) | Primary |
| Provider Name | Charles Campbell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518969245 PECOS PAC ID: 1052336294 Enrollment ID: I20051102000729 |
| Provider Name | Sudheer Paruchuri |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245221837 PECOS PAC ID: 6103842752 Enrollment ID: I20060922000295 |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 | |
A Kavaliunas Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 | |
Doc Cam Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 | |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 | |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 | |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 | |
Premier Primary Care And Alternative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 E 47th Street, Bldg 2 Suite B, Chicago, IL 60653 Phone: 773-891-2890 Fax: 773-891-4107 |