| Pcmc East | |
|
5320 159th St Suite 400 Oak Forest IL 60452-4705 | |
| (708) 798-8112 | |
| (708) 535-6396 |
| Full Name | Pcmc East |
|---|---|
| Speciality | Family Medicine |
| Location | 5320 159th St, Oak Forest, Illinois |
| Authorized Official Name and Position | Robyn C Lee-smith (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7087988112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pcmc East 5320 159th St Oak Forest IL 60452-4705 Ph: (708) 798-8112 | Pcmc East 5320 159th St Suite 400 Oak Forest IL 60452-4705 Ph: (708) 798-8112 |
| NPI Number | 1124371133 |
|---|---|
| Provider Enumeration Date | 10/16/2012 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124371133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Abraham P Mathew, Md.sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5320 159th St, Oak Forest, IL 60452 Phone: 708-687-5400 Fax: 708-687-0585 | |
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