| Michael Vosicky Do Family Healthcare Llc | |
|
245 S Gary Ave Suite 204 Bloomingdale IL 60108-2228 | |
| (630) 351-9170 | |
| Not Available |
| Full Name | Michael Vosicky Do Family Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 245 S Gary Ave, Bloomingdale, Illinois |
| Authorized Official Name and Position | Michael Vosicky (OWNER) |
| Authorized Official Contact | 6303519170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Vosicky Do Family Healthcare Llc 245 S Gary Ave Suite 204 Bloomingdale IL 60108-2228 Ph: (630) 351-9170 | Michael Vosicky Do Family Healthcare Llc 245 S Gary Ave Suite 204 Bloomingdale IL 60108-2228 Ph: (630) 351-9170 |
| NPI Number | 1326436767 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 04/24/2015 |
| Medicare PECOS PAC ID | 0547587727 |
|---|---|
| Medicare Enrollment ID | O20150327000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326436767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036082782 (Illinois) | Primary |
| Provider Name | Michael F Vosicky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609807908 PECOS PAC ID: 4082807243 Enrollment ID: I20101020000278 |
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