| Esperay Integrative Medicine | |
|
1914 Main St Evanston IL 60202-1516 | |
| (630) 373-2312 | |
| Not Available |
| Full Name | Esperay Integrative Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1914 Main St, Evanston, Illinois |
| Authorized Official Name and Position | Esperanza Roman (PRESIDENT) |
| Authorized Official Contact | 6303732312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Esperay Integrative Medicine 1326 Main St Evanston IL 60202-1653 Ph: (630) 373-2312 | Esperay Integrative Medicine 1914 Main St Evanston IL 60202-1516 Ph: (630) 373-2312 |
| NPI Number | 1750064960 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 8123478153 |
|---|---|
| Medicare Enrollment ID | O20240103000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750064960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Esperanza Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962804419 PECOS PAC ID: 8224259627 Enrollment ID: I20141029000437 |
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