| Gustavo A. Pedraza, M.d., Ltd. | |
|
25220 S Reed St Channahon IL 60410-6000 | |
| (815) 467-4114 | |
| Not Available |
| Full Name | Gustavo A. Pedraza, M.d., Ltd. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 25220 S Reed St, Channahon, Illinois |
| Authorized Official Name and Position | Gustavo A. Pedraza (PRESIDENT) |
| Authorized Official Contact | 8154674114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo A. Pedraza, M.d., Ltd. 25220 S Reed St P.o. Box 197 Channahon IL 60410-6000 Ph: (815) 467-4114 | Gustavo A. Pedraza, M.d., Ltd. 25220 S Reed St Channahon IL 60410-6000 Ph: (815) 467-4114 |
| NPI Number | 1275705394 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 03/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275705394 | NPI | - | NPPES |
| 099-00605 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Illinois) | Primary |
Gustavo A . Pedraza M.d., Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23952 S Northern Illinois Dr, Channahon, IL 60410 Phone: 815-467-4114 Fax: 815-467-1774 | |
Murphy Spine & Sports Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25158 W Eames St, Unit G, Channahon, IL 60410 Phone: 815-467-4466 Fax: 815-467-4464 | |
Uwc- Channahon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25407 S Bell Rd Ste A, Channahon, IL 60410 Phone: 312-421-1016 Fax: 815-655-2730 |