| Hyde Park Associates In Medicine Ltd | |
|
1515 E 52nd Pl 3rd Floor Chicago IL 60615-4390 | |
| (773) 493-8212 | |
| (773) 955-2166 |
| Full Name | Hyde Park Associates In Medicine Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1515 E 52nd Pl, Chicago, Illinois |
| Authorized Official Name and Position | Stephanie Weaver (PHYSICIAN MANAGER) |
| Authorized Official Contact | 7734938212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyde Park Associates In Medicine Ltd 1515 E 52nd Pl 3rd Floor Chicago IL 60615-4390 Ph: (773) 493-8212 | Hyde Park Associates In Medicine Ltd 1515 E 52nd Pl 3rd Floor Chicago IL 60615-4390 Ph: (773) 493-8212 |
| NPI Number | 1710092473 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710092473 | NPI | - | NPPES |
| 0001616367 | Other | IL | BLUE CROSS BLUE SHIELD |
| 0005485045 | Other | AETNA | |
| CF1260 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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