| La Raza Medical Center | |
|
16 E Green St Bensenville IL 60106-2482 | |
| (630) 238-2100 | |
| (630) 238-2110 |
| Full Name | La Raza Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 16 E Green St, Bensenville, Illinois |
| Authorized Official Name and Position | Irma Esperanza Urrutia-potter (M.D.) |
| Authorized Official Contact | 6302382100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Raza Medical Center 16 E Green St Bensenville IL 60106-2482 Ph: (630) 238-2100 | La Raza Medical Center 16 E Green St Bensenville IL 60106-2482 Ph: (630) 238-2100 |
| NPI Number | 1952578304 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952578304 | NPI | - | NPPES |
| 036112375 | Medicaid | IL | |
| 1447363890 | Other | NPI | |
| I43779 | Other | IL | UPIN |
| 02233119 | Other | IL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mb Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 229 W Grand Ave Suite, Suite S, Bensenville, IL 60106 Phone: 630-235-6868 Fax: 630-235-6868 | |
Burgos Fuentes Service Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 229 W Grand Ave Ste Qw, Bensenville, IL 60106 Phone: 630-422-1917 Fax: 630-422-7226 | |
Vna Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 W Main St, Bensenville, IL 60106 Phone: 630-978-2532 Fax: 630-978-2709 | |
Alvaro Pena Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 S York Rd, Bensenville, IL 60106 Phone: 630-521-9700 | |
Community Visiting Physicians Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 229 W Grand Ave Ste R, Bensenville, IL 60106 Phone: 630-473-7963 | |
Jason A Castator Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 S Center St, Bensenville, IL 60106 Phone: 630-595-9988 | |
Hamdard Health Alliance Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1240 Busse Rd, Bensenville, IL 60106 Phone: 224-414-1390 Fax: 224-414-1290 |