| Mcgowan Family Health & Wellness Center P.c. | |
|
19710 Governors Hwy Ste 2 Flossmoor IL 60422-2081 | |
| (773) 791-5676 | |
| Not Available |
| Full Name | Mcgowan Family Health & Wellness Center P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 19710 Governors Hwy Ste 2, Flossmoor, Illinois |
| Authorized Official Name and Position | Sandra R Mcgowan (PRESIDENT) |
| Authorized Official Contact | 7737915676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcgowan Family Health & Wellness Center P.c. 323 Academy Ave Matteson IL 60443-2986 Ph: () - | Mcgowan Family Health & Wellness Center P.c. 19710 Governors Hwy Ste 2 Flossmoor IL 60422-2081 Ph: (773) 791-5676 |
| NPI Number | 1326517632 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 02/27/2019 |
| Medicare PECOS PAC ID | 5193063360 |
|---|---|
| Medicare Enrollment ID | O20190213001596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326517632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sandra R Mcgowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568481232 PECOS PAC ID: 8921016387 Enrollment ID: I20060327000246 |
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