M Chavez Md Sc | |
1509 N Western Ave Unit A Chicago IL 60622-2416 | |
(773) 227-3303 | |
(773) 897-5848 |
Full Name | M Chavez Md Sc |
---|---|
Speciality | Family Medicine |
Location | 1509 N Western Ave Unit A, Chicago, Illinois |
Authorized Official Name and Position | Milton C Chavez (OWNER/PHYSICIAN) |
Authorized Official Contact | 7733421212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
M Chavez Md Sc 1509 N Western Ave Unit A Chicago IL 60622-2416 Ph: (773) 227-3303 | M Chavez Md Sc 1509 N Western Ave Unit A Chicago IL 60622-2416 Ph: (773) 227-3303 |
NPI Number | 1134446065 |
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Provider Enumeration Date | 05/03/2010 |
Last Update Date | 11/18/2021 |
Medicare PECOS PAC ID | 1658497961 |
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Medicare Enrollment ID | O20100923001186 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134446065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036079016 (Illinois) | Primary |
Provider Name | Milton C Chavez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700869450 PECOS PAC ID: 3577451640 Enrollment ID: I20040309001213 |
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