| Endocrine Care Llc | |
|
6703 159th St Suite 107 Tinley Park IL 60477-1781 | |
| (708) 532-6490 | |
| (708) 532-6262 |
| Full Name | Endocrine Care Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 6703 159th St, Tinley Park, Illinois |
| Authorized Official Name and Position | Andree C De Bustros (M.D./SOLE PROPRIETOR) |
| Authorized Official Contact | 7085326490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine Care Llc Po Box 1090 Matteson IL 60443-4090 Ph: (708) 747-5850 | Endocrine Care Llc 6703 159th St Suite 107 Tinley Park IL 60477-1781 Ph: (708) 532-6490 |
| NPI Number | 1710931555 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 12/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710931555 | NPI | - | NPPES |
| 0001636300 | Other | IL | BCBSIL GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 036-081805 (Illinois) | Primary |
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