Paulina Med Clinic | |
3525 W Peterson Ave Suite 611 Chicago IL 60659-3324 | |
(773) 583-7793 | |
(773) 583-7796 |
Full Name | Paulina Med Clinic |
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Speciality | General Practice |
Location | 3525 W Peterson Ave, Chicago, Illinois |
Authorized Official Name and Position | Andrea Rentea (DOCTOR) |
Authorized Official Contact | 7735837793 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Paulina Med Clinic 3525 W Peterson Ave Suite 611 Chicago IL 60659-3324 Ph: (773) 583-7793 | Paulina Med Clinic 3525 W Peterson Ave Suite 611 Chicago IL 60659-3324 Ph: (773) 583-7793 |
NPI Number | 1316103286 |
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Provider Enumeration Date | 07/31/2008 |
Last Update Date | 12/02/2011 |
Medicare PECOS PAC ID | 4688841448 |
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Medicare Enrollment ID | O20120118000764 |
Identifier | Type | State | Issuer |
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1316103286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 036058737 (Illinois) | Primary |
Provider Name | Razvan Rentea |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1215061239 PECOS PAC ID: 9739356429 Enrollment ID: I20120120000424 |
Provider Name | Andrea Rentea |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1164599809 PECOS PAC ID: 6103093893 Enrollment ID: I20120127000993 |
Provider Name | Sorina R Rentea |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720446719 PECOS PAC ID: 8527363845 Enrollment ID: I20160225000090 |
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