Northshore Health Partners Ltd | |
5140 N California Ave Suite 600 Chicago IL 60625-3645 | |
(773) 878-3326 | |
(773) 878-3614 |
Full Name | Northshore Health Partners Ltd |
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Speciality | Internal Medicine |
Location | 5140 N California Ave, Chicago, Illinois |
Authorized Official Name and Position | Arminio Surucci (PRESIDENT) |
Authorized Official Contact | 7738783326 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Northshore Health Partners Ltd 5140 N California Ave Suite 600 Chicago IL 60625-3645 Ph: (773) 878-3326 | Northshore Health Partners Ltd 5140 N California Ave Suite 600 Chicago IL 60625-3645 Ph: (773) 878-3326 |
NPI Number | 1114068293 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 6901939115 |
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Medicare Enrollment ID | O20100809000143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114068293 | NPI | - | NPPES |
110208482 | Other | IL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Illinois) | Primary |
Provider Name | Arminio Surucci |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902894918 PECOS PAC ID: 9739226960 Enrollment ID: I20120419000757 |
Provider Name | Narcisa Surucci |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467440479 PECOS PAC ID: 0244363455 Enrollment ID: I20120521000616 |
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