| Med-peds Specialists S.c. | |
|
15614 S Harlem Ave Suite D Orland Park IL 60462-4402 | |
| (708) 444-0097 | |
| (708) 444-8252 |
| Full Name | Med-peds Specialists S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 15614 S Harlem Ave, Orland Park, Illinois |
| Authorized Official Name and Position | Alicja Kraska (MANAGER) |
| Authorized Official Contact | 7084440097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med-peds Specialists S.c. 15614 S Harlem Ave Suite D Orland Park IL 60462-4402 Ph: (708) 444-0097 | Med-peds Specialists S.c. 15614 S Harlem Ave Suite D Orland Park IL 60462-4402 Ph: (708) 444-0097 |
| NPI Number | 1790848877 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 12/06/2012 |
| Medicare PECOS PAC ID | 6608881644 |
|---|---|
| Medicare Enrollment ID | O20060213000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790848877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042618236 (Illinois) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Alicja Kraska Cwikla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093802712 PECOS PAC ID: 3678588613 Enrollment ID: I20060213000796 |
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