| Interamerican Clinical Services | |
|
2651 W Division St 1st Floor Chicago IL 60622 | |
| (773) 252-1147 | |
| (773) 252-5938 |
| Full Name | Interamerican Clinical Services |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2651 W Division St, Chicago, Illinois |
| Authorized Official Name and Position | Ana E Castellanos (PRESIDENT) |
| Authorized Official Contact | 7732521147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interamerican Clinical Services Po Box 470717 Interamerican Clinical Services Chicago IL 60647-0717 Ph: () - | Interamerican Clinical Services 2651 W Division St 1st Floor Chicago IL 60622 Ph: (773) 252-1147 |
| NPI Number | 1063560738 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063560738 | NPI | - | NPPES |
| 21621949 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 55812 (Illinois) | Primary |
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