| Md Care Center Sc | |
|
2740 W. Foster Suite 205 Chicago IL 60625 | |
| (773) 878-6550 | |
| (773) 878-6557 |
| Full Name | Md Care Center Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2740 W. Foster, Chicago, Illinois |
| Authorized Official Name and Position | Milenko Lazarevic (MD) |
| Authorized Official Contact | 7738786550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Care Center Sc 6533 N. Trumbull Avenue Lincolnwood IL 60712-3834 Ph: (773) 878-6550 | Md Care Center Sc 2740 W. Foster Suite 205 Chicago IL 60625 Ph: (773) 878-6550 |
| NPI Number | 1518158138 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 07/16/2008 |
| Medicare PECOS PAC ID | 5395713564 |
|---|---|
| Medicare Enrollment ID | O20040924000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518158138 | NPI | - | NPPES |
| 0360956635 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036095635 (Illinois) | Primary |
| Provider Name | Milenko Lazarevic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366544405 PECOS PAC ID: 0143114116 Enrollment ID: I20040924000451 |
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