First Clinic Sc | |
9669 Kenton Ave #405 Skokie IL 60076-1266 | |
(847) 933-0500 | |
(847) 933-0505 |
Full Name | First Clinic Sc |
---|---|
Speciality | Internal Medicine |
Location | 9669 Kenton Ave, Skokie, Illinois |
Authorized Official Name and Position | Chris Chon (PHYSICIAN) |
Authorized Official Contact | 8479330500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
First Clinic Sc Po Box 5177 Skokie IL 60076-5177 Ph: (847) 933-0500 | First Clinic Sc 9669 Kenton Ave #405 Skokie IL 60076-1266 Ph: (847) 933-0500 |
NPI Number | 1114932555 |
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Provider Enumeration Date | 07/31/2006 |
Last Update Date | 01/23/2015 |
Medicare PECOS PAC ID | 9335245000 |
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Medicare Enrollment ID | O20070426000532 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114932555 | NPI | - | NPPES |
31604612 | Other | IL | BCBSIL |
036084803 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Chris H Chon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578550752 PECOS PAC ID: 6204932973 Enrollment ID: I20070427000037 |
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