| Mary Kanashiro Md Sc Inc | |
|
6360 159th St Oak Forest IL 60452-2725 | |
| (708) 687-4620 | |
| (708) 687-4625 |
| Full Name | Mary Kanashiro Md Sc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6360 159th St, Oak Forest, Illinois |
| Authorized Official Name and Position | Mary Kanashiro (OWNER/ PROVIDER) |
| Authorized Official Contact | 7086874620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Kanashiro Md Sc Inc 6360 159th St Oak Forest IL 60452-2725 Ph: () - | Mary Kanashiro Md Sc Inc 6360 159th St Oak Forest IL 60452-2725 Ph: (708) 687-4620 |
| NPI Number | 1205599867 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 10/20/2021 |
| Medicare PECOS PAC ID | 9830584606 |
|---|---|
| Medicare Enrollment ID | O20220314000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205599867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary Kanashiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114949211 PECOS PAC ID: 3375593494 Enrollment ID: I20050803000886 |
Kailash C. Sharma Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6360 159th St, Suite A B, Oak Forest, IL 60452 Phone: 708-687-4620 Fax: 708-687-4625 | |
Pcmc East Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5320 159th St, Suite 400, Oak Forest, IL 60452 Phone: 708-798-8112 Fax: 708-535-6396 | |
South Suburban Multi Specialty Group Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 159th St Ste C, Oak Forest, IL 60452 Phone: 708-535-3300 | |
Christian Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16405 Frontage Rd, Oak Forest, IL 60452 Phone: 773-233-4100 | |
Abraham P Mathew, Md.sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5320 159th St, Oak Forest, IL 60452 Phone: 708-687-5400 Fax: 708-687-0585 | |
Suburban Internists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 159th St Ste C, Oak Forest, IL 60452 Phone: 708-535-3300 |