| Estelle Fletcher Md Phd Family Doctor S.c. | |
|
99- 129th Infantry Drive Joliet IL 60435-5134 | |
| (815) 744-3335 | |
| (815) 744-3701 |
| Full Name | Estelle Fletcher Md Phd Family Doctor S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 99- 129th Infantry Drive, Joliet, Illinois |
| Authorized Official Name and Position | Estelle S Fletcher (PRESIDENT) |
| Authorized Official Contact | 8157443335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Estelle Fletcher Md Phd Family Doctor S.c. 99- 129th Infantry Drive Joliet IL 60435-5134 Ph: (815) 744-3335 | Estelle Fletcher Md Phd Family Doctor S.c. 99- 129th Infantry Drive Joliet IL 60435-5134 Ph: (815) 744-3335 |
| NPI Number | 1588843411 |
|---|---|
| Provider Enumeration Date | 10/27/2007 |
| Last Update Date | 01/23/2008 |
| Medicare PECOS PAC ID | 5496830655 |
|---|---|
| Medicare Enrollment ID | O20080312000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588843411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-089471 (Illinois) | Primary |
| Provider Name | Estelle S Fletcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659320133 PECOS PAC ID: 7416032677 Enrollment ID: I20080312000123 |
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