Family Practice Geriatric Medicine | |
4475 Lawn Ave Western Springs IL 60558 | |
(708) 246-2500 | |
(708) 246-2785 |
Full Name | Family Practice Geriatric Medicine |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 4475 Lawn Ave, Western Springs, Illinois |
Authorized Official Name and Position | Melvin I Glick (OWNER) |
Authorized Official Contact | 7082462500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Practice Geriatric Medicine 4475 Lawn Ave Western Springs IL 60558 Ph: (708) 246-2500 | Family Practice Geriatric Medicine 4475 Lawn Ave Western Springs IL 60558 Ph: (708) 246-2500 |
NPI Number | 1922147115 |
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Provider Enumeration Date | 02/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1922147115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (Illinois) | Primary |
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