| Mcintyre Family Medicine Llc | |
|
345a W Ogden Ave Westmont IL 60559-1419 | |
| (630) 205-2129 | |
| (630) 541-9134 |
| Full Name | Mcintyre Family Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 345a W Ogden Ave, Westmont, Illinois |
| Authorized Official Name and Position | Irene Krieter (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 8473472862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcintyre Family Medicine Llc 345a W Ogden Ave Westmont IL 60559-1419 Ph: (630) 205-2129 | Mcintyre Family Medicine Llc 345a W Ogden Ave Westmont IL 60559-1419 Ph: (630) 205-2129 |
| NPI Number | 1891348272 |
|---|---|
| Provider Enumeration Date | 07/24/2019 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 3274966965 |
|---|---|
| Medicare Enrollment ID | O20191211001223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891348272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Maris F Mcintyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063652204 PECOS PAC ID: 9739339771 Enrollment ID: I20121026000709 |
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