| Medical Associates Of Chatam, Ltd | |
|
8541 S State St Suite #9 Chicago IL 60619-5665 | |
| (773) 488-2595 | |
| (773) 783-8561 |
| Full Name | Medical Associates Of Chatam, Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 8541 S State St, Chicago, Illinois |
| Authorized Official Name and Position | Vijaya K Sarma (OWNER/PRESIDENT) |
| Authorized Official Contact | 7734882595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Chatam, Ltd 8541 S State St Suite #9 Chicago IL 60619-5665 Ph: (773) 488-2595 | Medical Associates Of Chatam, Ltd 8541 S State St Suite #9 Chicago IL 60619-5665 Ph: (773) 488-2595 |
| NPI Number | 1215267786 |
|---|---|
| Provider Enumeration Date | 01/06/2010 |
| Last Update Date | 07/30/2015 |
| Medicare PECOS PAC ID | 7911037981 |
|---|---|
| Medicare Enrollment ID | O20100617000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215267786 | NPI | - | NPPES |
| 036099712 | Medicaid | IL | |
| H01032 | Other | IL | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036099712 (Illinois) | Primary |
| Provider Name | Vijaya K Sarma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952498248 PECOS PAC ID: 9931099587 Enrollment ID: I20040317000918 |
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