Healthstop Sc | |
3635 S Harlem Ave Berwyn IL 60402-3212 | |
(708) 447-9402 | |
(708) 447-3246 |
Full Name | Healthstop Sc |
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Speciality | Family Medicine |
Location | 3635 S Harlem Ave, Berwyn, Illinois |
Authorized Official Name and Position | Manohar Jethani (PRESIDENT) |
Authorized Official Contact | 7084479402 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthstop Sc 3635 S Harlem Ave Berwyn IL 60402-3212 Ph: (708) 447-9402 | Healthstop Sc 3635 S Harlem Ave Berwyn IL 60402-3212 Ph: (708) 447-9402 |
NPI Number | 1225684640 |
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Provider Enumeration Date | 08/12/2019 |
Last Update Date | 08/12/2019 |
Medicare PECOS PAC ID | 6305176884 |
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Medicare Enrollment ID | O20190926000147 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225684640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Manohar L Jethani |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366529505 PECOS PAC ID: 6406923648 Enrollment ID: I20080930000317 |
Provider Name | Melissa N Toulios |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912207036 PECOS PAC ID: 4880877018 Enrollment ID: I20110325000575 |
Provider Name | Jennifer L Dunlop |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912352089 PECOS PAC ID: 3274829791 Enrollment ID: I20160909001587 |
Healthy Hearts Doctors Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6920 Ogden Ave, Berwyn, IL 60402 Phone: 630-847-9795 Fax: 630-780-2991 | |
Gottlieb Community Health Services Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3125 | |
Berwyn Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3245 S. Grove Avenue, Ste 105 & 106, Berwyn, IL 60402 Phone: 708-795-0383 Fax: 708-484-9545 | |
Macneal Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3249 South Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3222 Fax: 708-783-3489 | |
South Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6201 Roosevelt Rd, Berwyn, IL 60402 Phone: 708-386-0845 Fax: 708-386-8472 | |
Vanguard Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3222 Fax: 708-783-3489 | |
7 Hills Healthcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6925 Cermak Rd, Berwyn, IL 60402 Phone: 708-484-9903 |