| Meyer Family Medicine Associates Llc | |
|
7900 N Milwaukee Ave Suite 2-23 Niles IL 60714-3159 | |
| (847) 966-9878 | |
| (847) 213-2057 |
| Full Name | Meyer Family Medicine Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7900 N Milwaukee Ave, Niles, Illinois |
| Authorized Official Name and Position | Michael John Meyer (PHYSICIAN/ CO-PRESIDENT) |
| Authorized Official Contact | 8479669878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meyer Family Medicine Associates Llc 7900 N Milwaukee Ave Suite 2-23 Niles IL 60714-3159 Ph: (847) 966-9878 | Meyer Family Medicine Associates Llc 7900 N Milwaukee Ave Suite 2-23 Niles IL 60714-3159 Ph: (847) 966-9878 |
| NPI Number | 1184810608 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 06/12/2013 |
| Medicare PECOS PAC ID | 2860443470 |
|---|---|
| Medicare Enrollment ID | O20050201000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184810608 | NPI | - | NPPES |
| 01623900 | Other | IL | BLUE CROSS & BLUE SHIELD OF ILLINOIS |
| 036092039 | Medicaid | IL | |
| 036098934 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Provider Name | Paul A Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235139619 PECOS PAC ID: 3476504085 Enrollment ID: I20050204000019 |
| Provider Name | Michael J Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043219322 PECOS PAC ID: 7012968621 Enrollment ID: I20050204000130 |
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