| Medart Institute, Inc. | |
|
6039 W Belmont Ave Chicago IL 60634-5116 | |
| (773) 622-6095 | |
| (773) 622-8706 |
| Full Name | Medart Institute, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6039 W Belmont Ave, Chicago, Illinois |
| Authorized Official Name and Position | Ann Mia (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7736226095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medart Institute, Inc. 6039 W. Belmont Ave. Chicago IL 60634 Ph: (773) 622-6095 | Medart Institute, Inc. 6039 W Belmont Ave Chicago IL 60634-5116 Ph: (773) 622-6095 |
| NPI Number | 1316180912 |
|---|---|
| Provider Enumeration Date | 04/13/2009 |
| Last Update Date | 04/23/2009 |
| Medicare PECOS PAC ID | 7416005152 |
|---|---|
| Medicare Enrollment ID | O20090506000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316180912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anna Mianowska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871635078 PECOS PAC ID: 9436207172 Enrollment ID: I20090506000329 |
| Provider Name | Yelena Berman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740646744 PECOS PAC ID: 2769812940 Enrollment ID: I20200501001113 |
| Provider Name | Peter Adam Miani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205330404 PECOS PAC ID: 9830448877 Enrollment ID: I20221128001657 |
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