Pinto-thomas, M.d., S.c. | |
248 E Grand Ave Fox Lake IL 60020-1630 | |
(847) 587-6333 | |
(847) 587-4839 |
Full Name | Pinto-thomas, M.d., S.c. |
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Speciality | Family Medicine |
Location | 248 E Grand Ave, Fox Lake, Illinois |
Authorized Official Name and Position | Jude C/ Pinto (SECRETARY) |
Authorized Official Contact | 8475876333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pinto-thomas, M.d., S.c. 248 E Grand Ave Fox Lake IL 60020-1630 Ph: (847) 587-6333 | Pinto-thomas, M.d., S.c. 248 E Grand Ave Fox Lake IL 60020-1630 Ph: (847) 587-6333 |
NPI Number | 1750577979 |
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Provider Enumeration Date | 09/20/2007 |
Last Update Date | 09/20/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750577979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Illinois) | Primary |
207R00000X | Internal Medicine | (Illinois) | Secondary |