| Home Health Medical Llc | |
|
4400 W 95th St Suite 106 Oak Lawn IL 60453-2654 | |
| (708) 422-7758 | |
| (708) 422-8154 |
| Full Name | Home Health Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4400 W 95th St, Oak Lawn, Illinois |
| Authorized Official Name and Position | Ronald Eric Sam (SOLE MANAGER/PHYSICIAN) |
| Authorized Official Contact | 7084227758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Health Medical Llc 4400 W 95th St Suite 106 Oak Lawn IL 60453-2654 Ph: (708) 422-7758 | Home Health Medical Llc 4400 W 95th St Suite 106 Oak Lawn IL 60453-2654 Ph: (708) 422-7758 |
| NPI Number | 1578665907 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 08/03/2015 |
| Medicare PECOS PAC ID | 3375435373 |
|---|---|
| Medicare Enrollment ID | O20040325001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578665907 | NPI | - | NPPES |
| 036094623 | Medicaid | IL | |
| 208184 | Other | IL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036094623 (Illinois) | Primary |
| Provider Name | Ronald Sam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073537643 PECOS PAC ID: 7618861188 Enrollment ID: I20040929000137 |
Maria Vivian L. Sanchez, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5660 W 95th St, Oak Lawn, IL 60453 Phone: 630-241-1229 Fax: 630-963-9594 | |
Michael E Beck Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4938 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-4662 Fax: 708-425-4692 | |
Mark S. Reiter, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, Suite 405, Oak Lawn, IL 60453 Phone: 708-499-2323 Fax: 708-499-2324 | |
Alliance Post-acute Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9525 Mayfield Ave, Oak Lawn, IL 60453 Phone: 708-801-0181 | |
Windy City Pain Relief, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5571 W 95th St, Oak Lawn, IL 60453 Phone: 708-972-9695 Fax: 708-401-0194 | |
Vanessa Hagan, Md, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, 303, Oak Lawn, IL 60453 Phone: 708-423-1300 Fax: 708-423-6085 |