| Mile Square Dr. Cynthia Barnes-boyd/drake Health And Wellness Center | |
|
2710 S Dearborn St Chicago IL 60616-2684 | |
| (312) 355-5746 | |
| Not Available |
| Full Name | Mile Square Dr. Cynthia Barnes-boyd/drake Health And Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2710 S Dearborn St, Chicago, Illinois |
| Authorized Official Name and Position | Victoria Marie Levitske (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 3129960566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mile Square Dr. Cynthia Barnes-boyd/drake Health And Wellness Center 818 S Wolcott Ave Ste 811 Chicago IL 60612-3702 Ph: (312) 996-9787 | Mile Square Dr. Cynthia Barnes-boyd/drake Health And Wellness Center 2710 S Dearborn St Chicago IL 60616-2684 Ph: (312) 355-5746 |
| NPI Number | 1346707254 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 08/09/2019 |
| Medicare PECOS PAC ID | 3072422716 |
|---|---|
| Medicare Enrollment ID | O20190423001674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346707254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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