| Pedios, Ltd. | |
|
260 Chicago Ave Oak Park IL 60302-2361 | |
| (708) 383-8070 | |
| (708) 383-0811 |
| Full Name | Pedios, Ltd. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 260 Chicago Ave, Oak Park, Illinois |
| Authorized Official Name and Position | David R Claus (PRESIDENT) |
| Authorized Official Contact | 7083838070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedios, Ltd. 260 Chicago Ave Oak Park IL 60302-2361 Ph: (708) 383-8070 | Pedios, Ltd. 260 Chicago Ave Oak Park IL 60302-2361 Ph: (708) 383-8070 |
| NPI Number | 1124141601 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124141601 | NPI | - | NPPES |
| 03606261 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0336026597 (Illinois) | Primary |
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