| Mary I. Pitaro, M.d., Ltd. | |
|
9050 W 81st St Justice IL 60458-1350 | |
| (708) 563-0088 | |
| (708) 563-0585 |
| Full Name | Mary I. Pitaro, M.d., Ltd. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9050 W 81st St, Justice, Illinois |
| Authorized Official Name and Position | Mary Iria Pitaro (PRESIDENT) |
| Authorized Official Contact | 7085630088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary I. Pitaro, M.d., Ltd. 9050 W 81st St Justice IL 60458-1350 Ph: (708) 563-0088 | Mary I. Pitaro, M.d., Ltd. 9050 W 81st St Justice IL 60458-1350 Ph: (708) 563-0088 |
| NPI Number | 1184815987 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 08/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184815987 | NPI | - | NPPES |
| 31604392 | Other | IL | BCBS OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Illinois) | Primary |
Theodore Christou Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9050 W 81st St, Justice, IL 60458 Phone: 708-563-0330 Fax: 708-563-0916 | |
Indian Springs Sch Dist 109 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7540 South 86th Ave, Justice, IL 60458 Phone: 708-496-8700 Fax: 708-496-8641 |