| Harmony Medical And Wellness Center Inc | |
|
4600 N Magnolia Harmony Medical And Wellness Center Suite D Chicago IL 60640 | |
| (773) 989-1885 | |
| (773) 989-9828 |
| Full Name | Harmony Medical And Wellness Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4600 N Magnolia, Chicago, Illinois |
| Authorized Official Name and Position | James G Mo (PHYSICIAN) |
| Authorized Official Contact | 7739891885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmony Medical And Wellness Center Inc 4600 N Magnolia Ave Suite D Chicago IL 60640-5083 Ph: (773) 989-1885 | Harmony Medical And Wellness Center Inc 4600 N Magnolia Harmony Medical And Wellness Center Suite D Chicago IL 60640 Ph: (773) 989-1885 |
| NPI Number | 1003848326 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 12/31/2015 |
| Medicare PECOS PAC ID | 4880677343 |
|---|---|
| Medicare Enrollment ID | O20040608000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003848326 | NPI | - | NPPES |
| 036048011 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036048011 (Illinois) | Primary |
| Provider Name | James G Mo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962486571 PECOS PAC ID: 3971586454 Enrollment ID: I20120125000049 |
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