| Mk Medical Group Llc | |
|
5729 W Cermak Rd Cicero IL 60804-2129 | |
| (708) 477-6525 | |
| Not Available |
| Full Name | Mk Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5729 W Cermak Rd, Cicero, Illinois |
| Authorized Official Name and Position | Milena Kyoutchoukova (OWNER) |
| Authorized Official Contact | 7086911429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mk Medical Group Llc 1130 N Dearborn St 704 Chicago IL 60610-2756 Ph: () - | Mk Medical Group Llc 5729 W Cermak Rd Cicero IL 60804-2129 Ph: (708) 477-6525 |
| NPI Number | 1013236090 |
|---|---|
| Provider Enumeration Date | 05/31/2010 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013236090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036111568 (Illinois) | Primary |
Roselia Herrera Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6039 W Cermak Rd, Cicero, IL 60804 Phone: 708-652-0056 | |
Hernan Reyes Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5610 W Cermak Rd, Unit #2, Cicero, IL 60804 Phone: 708-656-9247 Fax: 708-656-9358 | |