Obregon Medical Center Inc | |
5533 W Cermak Rd Cicero IL 60804-2236 | |
(708) 656-8775 | |
Not Available |
Full Name | Obregon Medical Center Inc |
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Speciality | Internal Medicine |
Location | 5533 W Cermak Rd, Cicero, Illinois |
Authorized Official Name and Position | Felix Obregon (OWNER/PROVIDER) |
Authorized Official Contact | 7086568775 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Obregon Medical Center Inc 5533 W Cermak Rd Cicero IL 60804-2236 Ph: (708) 656-8775 | Obregon Medical Center Inc 5533 W Cermak Rd Cicero IL 60804-2236 Ph: (708) 656-8775 |
NPI Number | 1912200882 |
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Provider Enumeration Date | 12/14/2010 |
Last Update Date | 01/01/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912200882 | NPI | - | NPPES |
036069552 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036069552 (Illinois) | Primary |
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