Gail Bryant Mdsc | |
125 S Wilke Rd Suite 100 Arlington Heights IL 60005-1534 | |
(847) 637-1600 | |
(847) 637-1606 |
Full Name | Gail Bryant Mdsc |
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Speciality | Family Medicine |
Location | 125 S Wilke Rd, Arlington Heights, Illinois |
Authorized Official Name and Position | Gail G Bryant (DIRECTOR) |
Authorized Official Contact | 8476371600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gail Bryant Mdsc 125 S Wilke Rd Suite 100 Arlington Heights IL 60005-1534 Ph: (847) 637-1600 | Gail Bryant Mdsc 125 S Wilke Rd Suite 100 Arlington Heights IL 60005-1534 Ph: (847) 637-1600 |
NPI Number | 1972813970 |
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Provider Enumeration Date | 10/12/2010 |
Last Update Date | 04/29/2011 |
Medicare PECOS PAC ID | 6002090990 |
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Medicare Enrollment ID | O20110419000400 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972813970 | NPI | - | NPPES |
1601983 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036098963 (Illinois) | Primary |
Provider Name | Gail G Bryant |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447202064 PECOS PAC ID: 6305878208 Enrollment ID: I20050901000139 |
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