| Medico Pllc | |
|
2600 S Michigan Ave Ste 305 Chicago IL 60616-2857 | |
| (312) 371-7951 | |
| (312) 624-9401 |
| Full Name | Medico Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2600 S Michigan Ave Ste 305, Chicago, Illinois |
| Authorized Official Name and Position | Anthony Del Priore (FOUNDER, PHYSICIAN) |
| Authorized Official Contact | 3123913913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medico Pllc 2600 S Michigan Ave Ste 305 Chicago IL 60616-2857 Ph: (312) 371-7951 | Medico Pllc 2600 S Michigan Ave Ste 305 Chicago IL 60616-2857 Ph: (312) 371-7951 |
| NPI Number | 1225613219 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 9830508951 |
|---|---|
| Medicare Enrollment ID | O20210430002077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225613219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Felix Ngeh Fonge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386994812 PECOS PAC ID: 1153574462 Enrollment ID: I20130118000145 |
| Provider Name | Anthony Del Priore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275888216 PECOS PAC ID: 9931429388 Enrollment ID: I20150526002207 |
| Provider Name | Suzanne Siu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497299689 PECOS PAC ID: 1759664816 Enrollment ID: I20170215001467 |
| Provider Name | Brian Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265048243 PECOS PAC ID: 2365857190 Enrollment ID: I20210209000746 |
| Provider Name | Natalia Katarzyna Buron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508436502 PECOS PAC ID: 6507269024 Enrollment ID: I20210721003192 |
| Provider Name | Ashley H Ragle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851880744 PECOS PAC ID: 1759777485 Enrollment ID: I20220406001632 |
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