My Doc S.c. | |
2403 S Oakley Ave Chicago IL 60608 | |
(773) 376-0160 | |
(773) 376-0350 |
Full Name | My Doc S.c. |
---|---|
Speciality | Clinic/Center |
Location | 2403 S Oakley Ave, Chicago, Illinois |
Authorized Official Name and Position | Lillian Foca-munoz (OWNER) |
Authorized Official Contact | 7733760160 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
My Doc S.c. 2403 S Oakley Ave Chicago IL 60608-4901 Ph: (773) 376-0160 | My Doc S.c. 2403 S Oakley Ave Chicago IL 60608 Ph: (773) 376-0160 |
NPI Number | 1376746198 |
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Provider Enumeration Date | 06/08/2007 |
Last Update Date | 12/14/2018 |
Medicare PECOS PAC ID | 2860585908 |
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Medicare Enrollment ID | O20070906000418 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376746198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 036094011 (Illinois) | Primary |
Provider Name | Lillian Foca Munoz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518173152 PECOS PAC ID: 2062505191 Enrollment ID: I20070906000295 |
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