| Health Direction Medical Center, S.c. | |
|
4959 W Belmont Ave Chicago IL 60641-4332 | |
| (773) 930-3642 | |
| Not Available |
| Full Name | Health Direction Medical Center, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4959 W Belmont Ave, Chicago, Illinois |
| Authorized Official Name and Position | Esmilkrys Ramirez (OWNER) |
| Authorized Official Contact | 7739303642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Direction Medical Center, S.c. 4959 W Belmont Ave Chicago IL 60641-4332 Ph: (773) 930-3642 | Health Direction Medical Center, S.c. 4959 W Belmont Ave Chicago IL 60641-4332 Ph: (773) 930-3642 |
| NPI Number | 1184032641 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 07/29/2014 |
| Medicare PECOS PAC ID | 1254553357 |
|---|---|
| Medicare Enrollment ID | O20141105000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184032641 | NPI | - | NPPES |
| 036125776 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Esmilkrys B Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083880546 PECOS PAC ID: 9739363755 Enrollment ID: I20110414000940 |
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