Maywood Melrose Broadview 89 | |
1133 S 8th Ave Maywood IL 60153-1903 | |
(708) 450-2157 | |
(708) 450-1116 |
Full Name | Maywood Melrose Broadview 89 |
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Speciality | Clinic/center - Student Health |
Location | 1133 S 8th Ave, Maywood, Illinois |
Authorized Official Name and Position | Cynthia Broughton (SUPERINTENDENT) |
Authorized Official Contact | 7084502157 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Maywood Melrose Broadview 89 1133 S 8th Ave Maywood IL 60153-1903 Ph: (708) 450-2157 | Maywood Melrose Broadview 89 1133 S 8th Ave Maywood IL 60153-1903 Ph: (708) 450-2157 |
NPI Number | 1992820757 |
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Provider Enumeration Date | 03/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992820757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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