| Hispanic Medical Services, S.c. | |
|
5544 W Belmont Ave Chicago IL 60641-4129 | |
| (773) 685-7816 | |
| Not Available |
| Full Name | Hispanic Medical Services, S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5544 W Belmont Ave, Chicago, Illinois |
| Authorized Official Name and Position | Ramon J. Castro (PRESIDENT) |
| Authorized Official Contact | 7736857816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hispanic Medical Services, S.c. 819 N Lincoln Ave Park Ridge IL 60068-2531 Ph: (773) 685-7816 | Hispanic Medical Services, S.c. 5544 W Belmont Ave Chicago IL 60641-4129 Ph: (773) 685-7816 |
| NPI Number | 1659449718 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4385820828 |
|---|---|
| Medicare Enrollment ID | O20110517000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659449718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Ramon J Castro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710916663 PECOS PAC ID: 7315917945 Enrollment ID: I20040729001281 |
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