| Florence Wellness Of Illinois Pc | |
|
515 N State St Chicago IL 60654-4854 | |
| (202) 893-7910 | |
| Not Available |
| Full Name | Florence Wellness Of Illinois Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 515 N State St, Chicago, Illinois |
| Authorized Official Name and Position | Jacob Halpert (SECRETARY) |
| Authorized Official Contact | 2028937910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florence Wellness Of Illinois Pc 515 N State St Chicago IL 60654-4854 Ph: () - | Florence Wellness Of Illinois Pc 515 N State St Chicago IL 60654-4854 Ph: (202) 893-7910 |
| NPI Number | 1255063533 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Medicare PECOS PAC ID | 0941681977 |
|---|---|
| Medicare Enrollment ID | O20220721001725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255063533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David Halpert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811913163 PECOS PAC ID: 4789614694 Enrollment ID: I20220824000147 |
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