Henriksen Medical Services | |
7447 W Talcott Ave Suite #327 Chicago IL 60631-3745 | |
(773) 763-1344 | |
(773) 763-4313 |
Full Name | Henriksen Medical Services |
---|---|
Speciality | Family Medicine |
Location | 7447 W Talcott Ave, Chicago, Illinois |
Authorized Official Name and Position | Linda Henriksen (PRESIDENT) |
Authorized Official Contact | 7737631344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Henriksen Medical Services 7447 W Talcott Ave Suite #327 Chicago IL 60631-3745 Ph: (773) 763-1344 | Henriksen Medical Services 7447 W Talcott Ave Suite #327 Chicago IL 60631-3745 Ph: (773) 763-1344 |
NPI Number | 1215152210 |
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Provider Enumeration Date | 04/16/2007 |
Last Update Date | 04/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215152210 | NPI | - | NPPES |
080151075 | Other | IL | RAILROAD MEDICARE |
31603353 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036071749 (Illinois) | Primary |
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