| Medicor Partners, S.c | |
|
6832 Ogden Ave Berwyn IL 60402-3643 | |
| (708) 795-0890 | |
| (708) 795-1521 |
| Full Name | Medicor Partners, S.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 6832 Ogden Ave, Berwyn, Illinois |
| Authorized Official Name and Position | Manuel E Alva (PHYSICIAN) |
| Authorized Official Contact | 6303252655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicor Partners, S.c 5625 Bentley Ave Clarendon Hills IL 60514-1509 Ph: () - | Medicor Partners, S.c 6832 Ogden Ave Berwyn IL 60402-3643 Ph: (708) 795-0890 |
| NPI Number | 1710194477 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 09/21/2023 |
| Medicare PECOS PAC ID | 4789764523 |
|---|---|
| Medicare Enrollment ID | O20080104000599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710194477 | NPI | - | NPPES |
| #DH1149 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 036085880 (Illinois) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | 036090919 (Illinois) | Secondary |
| Provider Name | Esther M Alva |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720181043 PECOS PAC ID: 6800887449 Enrollment ID: I20040521000323 |
| Provider Name | Manuel E Alva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255405452 PECOS PAC ID: 9234219072 Enrollment ID: I20080104000606 |
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