| Pendolino Integrated Medical And Rehab Clinic, Pllc | |
|
15715 S Route 59 Plainfield IL 60544-2694 | |
| (630) 951-0037 | |
| Not Available |
| Full Name | Pendolino Integrated Medical And Rehab Clinic, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15715 S Route 59, Plainfield, Illinois |
| Authorized Official Name and Position | Anthony D Pendolino (MANAGING MEMBER) |
| Authorized Official Contact | 8154361191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pendolino Integrated Medical And Rehab Clinic, Pllc 15715 S Route 59 Plainfield IL 60544-2694 Ph: (630) 951-0037 | Pendolino Integrated Medical And Rehab Clinic, Pllc 15715 S Route 59 Plainfield IL 60544-2694 Ph: (630) 951-0037 |
| NPI Number | 1427666866 |
|---|---|
| Provider Enumeration Date | 07/22/2020 |
| Last Update Date | 07/28/2020 |
| Medicare PECOS PAC ID | 9537586151 |
|---|---|
| Medicare Enrollment ID | O20200828002463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427666866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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