| Mccammon-chase Total Wellness Center, Inc | |
|
917 S Oak Park Ave Suite B Oak Park IL 60304-1950 | |
| (708) 358-0791 | |
| (708) 358-1418 |
| Full Name | Mccammon-chase Total Wellness Center, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 917 S Oak Park Ave, Oak Park, Illinois |
| Authorized Official Name and Position | Nathalie Denise Mccammon-chase (DIRECTOR) |
| Authorized Official Contact | 7083580791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccammon-chase Total Wellness Center, Inc 917 S Oak Park Ave Suite B Oak Park IL 60304-1950 Ph: (708) 358-0791 | Mccammon-chase Total Wellness Center, Inc 917 S Oak Park Ave Suite B Oak Park IL 60304-1950 Ph: (708) 358-0791 |
| NPI Number | 1427311562 |
|---|---|
| Provider Enumeration Date | 06/22/2012 |
| Last Update Date | 02/26/2013 |
| Medicare PECOS PAC ID | 8224277249 |
|---|---|
| Medicare Enrollment ID | O20130621000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427311562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036104978 (Illinois) | Primary |
| Provider Name | Nathalie D Mccammon Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568409720 PECOS PAC ID: 8921049370 Enrollment ID: I20050517000309 |
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