| Family Healthcare Center, Ltd | |
|
1845 W 47th St Chicago IL 60609 | |
| (773) 927-5524 | |
| (773) 804-8450 |
| Full Name | Family Healthcare Center, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1845 W 47th St, Chicago, Illinois |
| Authorized Official Name and Position | Waldo J Arteaga (PROVIDER) |
| Authorized Official Contact | 7739275564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Center, Ltd 100 E 14th St Apt 904 Chicago IL 60605-3666 Ph: (773) 927-5524 | Family Healthcare Center, Ltd 1845 W 47th St Chicago IL 60609 Ph: (773) 927-5524 |
| NPI Number | 1629248182 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 05/18/2018 |
| Medicare PECOS PAC ID | 1557411840 |
|---|---|
| Medicare Enrollment ID | O20090608000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629248182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036066474 (Illinois) | Primary |
| Provider Name | Waldo J Arteaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568498939 PECOS PAC ID: 2769434414 Enrollment ID: I20050210000805 |
| Provider Name | Jacqueline P Arteaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396922357 PECOS PAC ID: 0648358515 Enrollment ID: I20080417000065 |
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