Greenview Health Center Chartered | |
5025 N Paulina Ave Ste 101 Chicago IL 60640-2772 | |
(773) 334-9056 | |
(773) 334-9009 |
Full Name | Greenview Health Center Chartered |
---|---|
Speciality | Family Medicine |
Location | 5025 N Paulina Ave, Chicago, Illinois |
Authorized Official Name and Position | Fernando Adalberto Ojea (OWNER) |
Authorized Official Contact | 7733349056 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Greenview Health Center Chartered Po Box 57120 Chicago IL 60657-0120 Ph: (773) 334-9056 | Greenview Health Center Chartered 5025 N Paulina Ave Ste 101 Chicago IL 60640-2772 Ph: (773) 334-9056 |
NPI Number | 1184632051 |
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Provider Enumeration Date | 08/04/2006 |
Last Update Date | 08/14/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184632051 | NPI | - | NPPES |
010012601 | Other | IL | MED RR |
036061009 | Medicaid | IL | |
003160120 | Other | IL | BCBC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036061009 (Illinois) | Primary |
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