| Mayfair Familycare Sc | |
|
5115 N Francisco Ave Fl 1 Chicago IL 60625-3611 | |
| (773) 271-6622 | |
| (773) 271-6801 |
| Full Name | Mayfair Familycare Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5115 N Francisco Ave, Chicago, Illinois |
| Authorized Official Name and Position | Bharat Kantilal Shah (PRESIDENT) |
| Authorized Official Contact | 7732716622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayfair Familycare Sc 5115 N Francisco Ave Fl 1 Chicago IL 60625-3611 Ph: (773) 271-6622 | Mayfair Familycare Sc 5115 N Francisco Ave Fl 1 Chicago IL 60625-3611 Ph: (773) 271-6622 |
| NPI Number | 1396799037 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 01/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396799037 | NPI | - | NPPES |
| 110169119 | Other | RAILROAD MEDICARE | |
| 21605075 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042007954 (Illinois) | Primary |
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