La Sagrada Familia Medical Clinic Llc | |
6013 W Cermak Rd Cicero IL 60804-2018 | |
(708) 222-9193 | |
(708) 222-9198 |
Full Name | La Sagrada Familia Medical Clinic Llc |
---|---|
Speciality | Clinic/Center |
Location | 6013 W Cermak Rd, Cicero, Illinois |
Authorized Official Name and Position | Francisco Avalos (MEDICAL DIRECTOR) |
Authorized Official Contact | 7082229193 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
La Sagrada Familia Medical Clinic Llc 6013 W Cermak Rd Cicero IL 60804-2018 Ph: (708) 222-9193 | La Sagrada Familia Medical Clinic Llc 6013 W Cermak Rd Cicero IL 60804-2018 Ph: (708) 222-9193 |
NPI Number | 1164749594 |
---|---|
Provider Enumeration Date | 04/25/2010 |
Last Update Date | 12/04/2010 |
Medicare PECOS PAC ID | 1355536871 |
---|---|
Medicare Enrollment ID | O20101110000712 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164749594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 036-114621 (Illinois) | Primary |
Provider Name | Francisco Avalos |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1245413574 PECOS PAC ID: 8123213659 Enrollment ID: I20101110000793 |
Roselia Herrera Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6039 W Cermak Rd, Cicero, IL 60804 Phone: 708-652-0056 | |
Mk Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5729 W Cermak Rd, Cicero, IL 60804 Phone: 708-477-6525 | |
Hernan Reyes Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5610 W Cermak Rd, Unit #2, Cicero, IL 60804 Phone: 708-656-9247 Fax: 708-656-9358 | |