| |
5909 W 35th St Cicero IL 60804-4163 | |
(708) 652-2040 | |
(708) 652-0058 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 5909 W 35th St, Cicero, Illinois |
Authorized Official Name and Position | Erin Mcclement (PRACTICE MANAGER) |
Authorized Official Contact | 7086522040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5909 W 35th St Cicero IL 60804-4163 Ph: (708) 652-2040 | 5909 W 35th St Cicero IL 60804-4163 Ph: (708) 652-2040 |
NPI Number | 1215066345 |
---|---|
Provider Enumeration Date | 03/05/2007 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215066345 | NPI | - | NPPES |
CM8148 | Other | IL | RR MEDICARE PIN |
0021625882 | Other | IL | BLUE CROSS & BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Illinois) | Primary |
Roselia Herrera Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6039 W Cermak Rd, Cicero, IL 60804 Phone: 708-652-0056 | |
Mk Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5729 W Cermak Rd, Cicero, IL 60804 Phone: 708-477-6525 | |
Hernan Reyes Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5610 W Cermak Rd, Unit #2, Cicero, IL 60804 Phone: 708-656-9247 Fax: 708-656-9358 | |