| Milwaukee Ave. Medical Center | |
|
6438 N. Milwaukee Ave. Chicago IL 60631 | |
| (773) 763-9305 | |
| (773) 763-9368 |
| Full Name | Milwaukee Ave. Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 6438 N. Milwaukee Ave., Chicago, Illinois |
| Authorized Official Name and Position | Albert Pecherek (PRESIDENT) |
| Authorized Official Contact | 7737639305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milwaukee Ave. Medical Center 6438 N Milwaukee Ave Chicago IL 60631-2046 Ph: (773) 763-9305 | Milwaukee Ave. Medical Center 6438 N. Milwaukee Ave. Chicago IL 60631 Ph: (773) 763-9305 |
| NPI Number | 1144493255 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Medicare PECOS PAC ID | 6901976794 |
|---|---|
| Medicare Enrollment ID | O20080605000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144493255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Provider Name | Albert Pecherek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922147024 PECOS PAC ID: 1254237761 Enrollment ID: I20031208000312 |
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