| Mokena Family Physicians Llc | |
|
11243 W La Porte Rd Mokena IL 60448-1374 | |
| (708) 479-4681 | |
| (708) 479-8516 |
| Full Name | Mokena Family Physicians Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 11243 W La Porte Rd, Mokena, Illinois |
| Authorized Official Name and Position | Rhonda A Davis (MANAGER) |
| Authorized Official Contact | 7084794681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mokena Family Physicians Llc 11243 W La Porte Rd Mokena IL 60448-1374 Ph: (708) 479-4681 | Mokena Family Physicians Llc 11243 W La Porte Rd Mokena IL 60448-1374 Ph: (708) 479-4681 |
| NPI Number | 1740359876 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 06/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740359876 | NPI | - | NPPES |
| 036085722 | Medicaid | IL | |
| 036077425 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036085722 (Illinois) | Primary |
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Crainsmith Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19162 S 88th Ave., Mokena, IL 60448 Phone: 708-567-4796 | |
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A Lota Healthcare Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10260 191st St Ste 100, Mokena, IL 60448 Phone: 708-572-7669 Fax: 708-469-4358 | |
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