| John Venetos Md Ltd | |
|
2740 W Foster Ave Ste 116 Chicago IL 60625-3524 | |
| (773) 989-6262 | |
| (773) 989-6263 |
| Full Name | John Venetos Md Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 2740 W Foster Ave Ste 116, Chicago, Illinois |
| Authorized Official Name and Position | John Venetos (PRESIDENT) |
| Authorized Official Contact | 7739896262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Venetos Md Ltd 2740 W Foster Ave Ste 116 Chicago IL 60625-3524 Ph: (773) 989-6262 | John Venetos Md Ltd 2740 W Foster Ave Ste 116 Chicago IL 60625-3524 Ph: (773) 989-6262 |
| NPI Number | 1568566081 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 12/06/2016 |
| Medicare PECOS PAC ID | 0840295283 |
|---|---|
| Medicare Enrollment ID | O20060919000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568566081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | John Venetos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952324584 PECOS PAC ID: 7214932656 Enrollment ID: I20060919000149 |
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