| Kehoe & Djordjevic S.c. | |
|
1725 W Harrison St Suite 106 Chicago IL 60612-3841 | |
| (312) 942-3798 | |
| Not Available |
| Full Name | Kehoe & Djordjevic S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1725 W Harrison St, Chicago, Illinois |
| Authorized Official Name and Position | William R Kehoe (MD/PARTNER) |
| Authorized Official Contact | 3129423798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kehoe & Djordjevic S.c. 1725 W Harrison St Suite 320 Chicago IL 60612-3841 Ph: (312) 942-3775 | Kehoe & Djordjevic S.c. 1725 W Harrison St Suite 106 Chicago IL 60612-3841 Ph: (312) 942-3798 |
| NPI Number | 1073769261 |
|---|---|
| Provider Enumeration Date | 08/07/2008 |
| Last Update Date | 08/07/2008 |
| Medicare PECOS PAC ID | 7719048982 |
|---|---|
| Medicare Enrollment ID | O20081205000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073769261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dragan Djordjevic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518992783 PECOS PAC ID: 7810882867 Enrollment ID: I20081205000593 |
| Provider Name | William R Kehoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285669457 PECOS PAC ID: 1456246404 Enrollment ID: I20081205000606 |
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