Erie Evanston Health Center | |
1285 Hartrey Evanston IL 60202-1056 | |
(312) 666-3494 | |
(312) 666-0610 |
Full Name | Erie Evanston Health Center |
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Speciality | Clinic/Center |
Location | 1285 Hartrey, Evanston, Illinois |
Authorized Official Name and Position | Lee Francis (PRESIDENT AND CEO) |
Authorized Official Contact | 3124327394 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Erie Evanston Health Center 1701 W Superior Chicago IL 60622-5646 Ph: (312) 666-3494 | Erie Evanston Health Center 1285 Hartrey Evanston IL 60202-1056 Ph: (312) 666-3494 |
NPI Number | 1629328836 |
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Provider Enumeration Date | 09/14/2012 |
Last Update Date | 11/25/2015 |
Medicare PECOS PAC ID | 9537050422 |
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Medicare Enrollment ID | O20121016000125 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629328836 | NPI | - | NPPES |
748480 | Other | IL | MEDICARE PART B |
1616827 | Other | IL | B/C B/S |
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